Contoh Formulir Biodata Nadzir

FOMULIR BIODATA

1.      Biodata Diri :

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

            Tempat/Tgl Lahir        : ..............................................................................................

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

            Pekerjaan                     : ..............................................................................................

            No. HP                        : .................................................

            Jenis Kelamin              : Laki-Laki/Perempuan*

2.      Daftar Riwayat Pendidikan :

No.	Jenjang Pendidikan	Tempat Pendidikan	Tahun Lulus	Keterangan
1.	SD/MI
2.	SMP/MTsN
3.	SMA/MA
4.	DIPLOMA
5.	S-1
6.	S-2
7.	S-3

3.      Daftar Riwayat Organisasi :

No.	Nama Organisasi	Jabatan	Tahun	Keterangan
1.
2.
3.
4.
5.
6.
7.

                                                                                            KOTA, ..... ..................... 201

                                                                                                   

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Note : (*) Coret yang tidak perlu