Welcome to HMJ Tarbiyah's blog, TETAP SEMANGAT DAN JANGAN LUPA BAHAGIA

Selasa, 17 Januari 2017

Formulir PENDAFTARAN

Formulir Pendaftaran
Orientasi Pengenalan Pramuka OPP dan
Workshop Guru Professional
HMJ Tarbiyah STAIN Pekalongan

Bismillahirrohmanirrohim
Nama           : ..................................................
NIM             : ...................................................
TTL              : ...................................................
                      ....................................................
No. telp./hp  : ...................................................
Motto           : ...................................................
Alamat         : ...................................................

Pengalaman organisasi            :
Intra Kampus
  1. ...............................................................
  2. ...............................................................
Ekstra Kampus
  1. ...............................................................
  2. ...............................................................
Harapan mengikuti kegiatan ini  :
            ............................................................................
            ............................................................................

Pekalongan, .... Januari 2017
                                                      TTD


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Diisi lengkap (kesalahan Penulisan Nama / NIM bukan menjadi Tanggung Jawab Kami)

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