kelengkapan ziarah

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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 : ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ FOTO 3x4

Transcript of kelengkapan ziarah

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

3x4