8/19/2019 BIODATA (CV).docx

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UNIVERSITAS MULAWARMAN

FAKULTAS KEGURUAN DAN ILMU PENDIDIKAN

LABORATORIUM PENDIDIKAN FISIKA Jl. Muara Pahu ampus Gn. Kelua Gd. E2 Samarinda Kalimantan Timur 75123

BIODATA CALON ASISTEN

1. Nama :

……………………………………………………….....................2. NM :

…………………………………………………………………………3. Jurusan :

……………………………………………………........................!. Pr"di # Kelas :

……………………………………………………........................5. Tempat#Tan$$al %ahir :

……………………………………………………………………………………..&. 'lamat asal :

……………………………………...................................................... 

……………………………………......................................................  ……………………………………........................

...............................7. 'lamat se(aran$ :

……………………………………...................................................... 

……………………………………...................................................... 

……………………………………......................................................). '$ama :

……………………………………......................................................*. N" +P#Telpn :

……………………………………......................................................

1,. Jalur masu( (uliah :……………………………………......................................................

11. -ia/at a(ademi(a. S0 :

……………………………………....................................................... SMP :

……………………………………....................................................... SM'#SMK#Jurusan :

……………………………………......................................................

12. Pen$alaman r$anisasi :

4"t"

'lmamater

3 !

8/19/2019 BIODATA (CV).docx

2/2

UNIVERSITAS MULAWARMAN

FAKULTAS KEGURUAN DAN ILMU PENDIDIKAN

LABORATORIUM PENDIDIKAN FISIKA Jl. Muara Pahu ampus Gn. Kelua Gd. E2 Samarinda Kalimantan Timur 75123

a. ……………………………………................................................................

................................... ……………………………………................................................................

................................... ……………………………………................................................................

..................................d. ……………………………………................................................................

..................................13. +"i dan Keahlian :

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

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