formulir pendaftaran HMJ Jurnalistik

Formulir Pendaftaran Pengurus HMJ Jurnalistik Periode 2014/2015 Data Pribadi Nama                             : .....................

Formulir Pendaftaran Pengurus

HMJ Jurnalistik

Periode 2014/2015

Data Pribadi

Nama                            :.................................................................................................

Tempat tanggal lahir  :.................................................................................................

Alamat                         :.................................................................................................

Handphone                 :.................................................................................................

Motto Hidup               :.................................................................................................

Motivasi Mendaftar   :.................................................................................................

Riwayat Pendidikan

Formal

Sekolah Dasar            :.................................................................................................

SMP/MTs                    :.................................................................................................

SMA/SMK/MA           :.................................................................................................

Non Formal

Kursus                         :.................................................................................................

Pelatihan/Study Camp:................................................................................................

Pengalaman Organisasi

1.                       

2.

3.

Palembang,     Februari 2014

Peserta

(Nama Jelas)