2 Form Pendaftaran.pdf
Transcript of 2 Form Pendaftaran.pdf
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DATA PELAMAR
No. KTP : ........................................................................................................................
Nama Lengkap : ........................................................................................................................
Jenis Kelamin : ........................................................................................................................
Agama : ........................................................................................................................
Tempat/tgl lahir : ........................................................................................................................
Alamat (KTP) : ........................................................................................................................
Pendidikan : ........................................................................................................................
No. HP : .......................................................................................................................
Posisi yang dilamar : ....................................................................................................................
Pendaftaran Online : Ada Tidak
Jika Ada masukan nomor pendaftaran Online :
Khusus Pelamar pada posisi PENDAMPING LOKAL DESA
Pemilihan Lokasi Penugasan
Kabupaten Kecamatan Gampong/Desa (maksimal 3
Gampong)
Catatan : Bagi Pelamar yang sudah mendaftar melalui pendaftaran Online harap melampirkan 1 (satu) Eks. Bukti Pendaftaran Registrasi Online ke dalam dokumen berkas lamaran.
Form Pendaftaran
Pashoto Warna
3 x 4 cm
No. Pedaftaran
(di isi oleh Petugas)