LEMBAR BIODATA PENGURUS UKI KESMAS 2010-2011
Nama Panggilan : ......................................................................................................................
Nama Lengkap : .......................................................................................................................
NIM : G1B................................................................................................................
TTL : .......................................................................................................................
Bidang di UKI : .................................................. Sebagai ⃝ Kabid ⃝ Staff
Jenis Kelamin : ⃝ Ikhwan ⃝ Akhwat
Golongan Darah : ⃝ A ⃝ B ⃝ AB ⃝ O
Anak ke- : .......................................................................................................................
Dari Bersaudara : .......................................................................................................................
Angkatan : ⃝ 2008 ⃝ 2009 ⃝ 2010
Alamat Asal : .......................................................................................................................
Alamat Kost : .......................................................................................................................
Riwayat Pendidikan : SD..................................................................................................................
SMP...............................................................................................................
SMA...............................................................................................................
Pengalaman Organisasi : .......................................................................................................................
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No. HP : 1. ...................................................................................................................
2. ...................................................................................................................
E-mail : .......................................................................................................................
Facebook : .......................................................................................................................
Hobi : .......................................................................................................................
Keahlian yang Dimiliki : .......................................................................................................................
Motto Hidup : .......................................................................................................................
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