Formulir Pendaftaran Jurnalis Muda Tribun Sumsel 2015 Data Pribadi Nama : ...............................
Formulir
Pendaftaran Jurnalis Muda
Tribun Sumsel
2015
Data
Pribadi
Nama : .................................................................................................
Tempat
tanggal lahir :.................................................................................................
Alamat :.................................................................................................
Handphone :.................................................................................................
Facebook :............................................................................................
Twitter :.................................................................................................
Motto Hidup :.................................................................................................
Motivasi Mendaftar :.................................................................................................
Riwayat
Pendidikan
Formal
Sekolah Dasar :.................................................................................................
SMP/MTs :.................................................................................................
SMA/SMK/MA :.................................................................................................
PTN :.................................................................................................
Non
Formal
Kursus :.................................................................................................
1.
2.
3.
Pelatihan/Study Camp:................................................................................................
1.
2.
3.
Interst
o
Ilustrator
o
Fotografer
o
Jurnalis
Nb: Contreng
salah satu yang diminati
Palembang, Desember 2014
Peserta
(Nama Jelas)
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