DAFTAR RIWAYAT HIDUP

1. Nama : ................................................

2. Pria/ Wanita : ................................................

3. Warga Negara : ................................................

4. Tempat/tanggal lahir : ................................................

5. Alamat : ................................................

6. Agama : ................................................

7. Sudah/belum kawin : ................................................

8. Nama suami/istri : ................................................

9. Nama Anak-anak :

1. ....................... Tgl lahir ...............................

2. ....................... Tgl lahir ...............................

3. ....................... Tgl lahir ...............................

10. Nama Ayah : ................................................

11. Nama Ibu : ................................................

12. Pekerjaan Orang Tua : ................................................

13. Alamat Orang Tua : ................................................

14. Ijazah Sekolah :

a. ....................................................................................................................

b. ....................................................................................................................

c. ....................................................................................................................

d. ....................................................................................................................

15. Ijazah Kursus/ lainnya :

a. ....................................................................................................................

b. ....................................................................................................................

c. ....................................................................................................................

d. ....................................................................................................................

16. Pengalaman Kerja :

a. ....................................................................................................................

b. ....................................................................................................................

c. ....................................................................................................................

d. ....................................................................................................................

Nama Kantor, kota, lama bekerja/gaji/ dan lain-lain

a. ....................................................................................................................

b. ....................................................................................................................

c. ....................................................................................................................

d. ....................................................................................................................

17. Melamar sebagai : ................................................

18. Keinginan :

a. Gaji ..............................................................

b. Gaji ..............................................................

Daftar Riwayat Hidup ini dibuat dengan sebenarnya.

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Pelamar

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