Post on 25-Sep-2015
BIODATA ALM/H MANTAN PENGURUS YAYASAN,
DOSEN DAN TENAGA KEPENDIDIKAN
UNIKA WIDYA KARYA MALANG
Nama : _______________________________________________
Tmpt/tgl lahir : ________________________________________________
Nama istri/suami : ________________________________________________
Nama anak : ________________________________________________
________________________________________________
________________________________________________
________________________________________________
Pengalaman kerja di UKWK :
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Kesan thdp Alm/Almh selama hidup :
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Malang, Mei 2015
Pengisi
----------------------------------TANDA TERIMA TEMPLATE ISIAN UNTUK ZIARAH
JUMAT, 22 MEI 2015
Mohon diserahkan Senin, 18 Mei 2015NoNamaIsian utk alm/almhttd
KLOTER 1 MAKAM SUKUN
Mohon kesediaan mengisi list sebagai peserta rombongan ziarah di makam Sukun
No.NamaFakultas/unitTtd
KLOTER 2 MAKAM SAMAANMohon kesediaan mengisi list sebagai peserta rombongan ziarah di makam Samaan
No.NamaFakultas/unitTtd
KLOTER 3 MAKAM Jl. Bandung, Klaseman, Candi BadutMohon kesediaan mengisi list sebagai peserta rombongan ziarah di 3 makam No.NamaFakultas/unitTtd
FOTO
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