Formulir HMM
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HIMPUNAN MAHASISWA MESIN (HMM) FAKULTAS TEKNIK UNIVERSITAS SRIWIJAYA Kampus Universitas Sriwijaya Zona E, Fakultas Teknik, Jurusan Teknik Mesin FORMULIR BIODATA HIMPUNAN MAHASISWA MESIN (HMM) OPEN RECRUITMENT 2008 – 2009 Nama Lengkap : .............................................................. ................................................................. Nama Panggilan : .............................................................. .................................................................. NIM : .................................................... ..................................................................... ....... Tempat/tgl lahir : .............................................................. .................................................................. Jenis Kelamin : .............................................................. ................................................................. Agama : ............................................... ..................................................................... ............ Alamat Sekarang : .............................................................. .................................................................. Alamat Asal : .............................................................. .................................................................. NO. Telp/Hp : .............................................................. ..................................................................
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Formulir HMM
Transcript of Formulir HMM
HIMPUNAN MAHASISWA MESIN (HMM)FAKULTAS TEKNIK UNIVERSITAS SRIWIJAYAKampus Universitas Sriwijaya Zona E, Fakultas Teknik, Jurusan Teknik Mesin
Jalan Raya Palembang-Prabumulih Km.32. Inderalaya-Ogan Ilir
FORMULIR BIODATA HIMPUNAN MAHASISWA MESIN (HMM)OPEN RECRUITMENT 2008 – 2009
Nama Lengkap : ...............................................................................................................................
Nama Panggilan : ................................................................................................................................
NIM : ................................................................................................................................
Tempat/tgl lahir : ................................................................................................................................
Jenis Kelamin : ...............................................................................................................................
Agama : ................................................................................................................................
Alamat Sekarang : ................................................................................................................................
Alamat Asal : ................................................................................................................................
NO. Telp/Hp : ................................................................................................................................
Hobby : ................................................................................................................................
Motto Hidup : ................................................................................................................................
Saran & Kritik HMM :
Saran : ……………………………………………………………………………………………………………………………………………………………………………………………………………………….....Kritik :............................................................................................................................................................................................................................................................................................................................................
Riwayat Pendidikan FormalTingkat Nama Kota/Provinsi Tahun
LulusSD
SMP/MTSSMA/SMK/MAN
Riwayat OrganisasiNo. Tingkat Nama Organisasi Jabatan Tahun
Ikrar Pengurus :Dengan ini saya menyatakan bahwa data yang telah diisi tanpa rekayasa dan saya berjanji untuk mengabdi serta mengemban tugas di Himpunan Mahasiswa Mesin (HMM) pada periode 2008 – 2009.
Inderalaya, Desember 2008
(...........................................)
NIIM : ..............................
