FORMULIR PENDAFTARAN

Nama Lengkap & Gelar : .........................................................................................................................

Tempat/Tanggal Lahir: .........................................................................................................................

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

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Jenis kelamin : L/P

Agama : .........................................................................................................................

Status : Kawin/Belum Kawin/Duda/Janda*

Pendidikan terakhir : .........................................................................................................................

IPK/Nilai Ijazah : ........................................................................................................................

Pendidikan Non Formal/Kursus-kursus : 1. .....................................................................................................................

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Pengalama Kerja : 1. .....................................................................................................................

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No HP/Telp : .........................................................................................................................

Alamat Email : .........................................................................................................................

Formasi yangdi pilih(lingkari salahsatu)

: 01.02.03.04.05.06.07.08.09.10.11.

Operator Elektronik PlanningPetugas Elektronik Disposisi dan Elektronik ArsipOperator Database Badan Perencanaan Pembangunan DaerahOperator Aplikasi Database monitoring dan EvaluasiPetugas pengembangan ekonomi lokal daerahPetugas percepatan penanggulangan kemiskinan daerahTenaga Operator GIS pada Planning GalleryTenaga Operator Sistem Informasi RamdalTenaga Operator GIS pada Perencanaan Tata RuangTenaga Kontrak untuk Air Minum dan Sanitasi PengembanganTenaga untuk Perencanaan Pusat Pertumbuhan Ekonomi

Martapura,Pelamar,..................................................