FORMULIR PENDAFTARAN CALON .pdf

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HIMPUNAN MAHASISWA MATEMATIKA (HIMATIKA)
FAKULTAS KEGURUAN DAN ILMU PENDIDIKAN
UNIVERSITAS ISLAM SULTAN AGUNG SEMARANG
Sekretariat: Jl. Raya Kaligawe Km. 4 Po. Box 1054/ SM FKIP UNISSULA Semarang 50112
Email: himatikaunissula@gmail.com
Web: www.himatikaunissula.com

FORMULIR PENDAFTARAN
PENGURUS HIMATIKA FKIP UNISSULA
TAHUN 2014
Nama
NIM
Fak/Prodi
Angkatan
Tempat/ Tanggal Lahir
Alamat Asal
Alamat Sekarang
Motto Hidup
Motivasi Mencalonkan Diri

No. HP/telp
Facebook / twitter / Web
Prestasi

Pengalaman Organisasi

Riwayat Pendidikan

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: FKIP / Pendidikan Matematika
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Hormat Saya
Pas Photo
3x4

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NIM.

HIMPUNAN MAHASISWA MATEMATIKA

@2014

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