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Panitia Pelaksana Open Recruitment Dan Leadership Training Unit Kegiatan Mahasiswa (Ukm) Bahasa Politeknik Negeri Ujung Pandang

This document is a registration form for a student named Nur Irna Rahmadayanti Khair to participate in an open recruitment and leadership training event organized by the UKM Bahasa student organization at the Ujung Pandang State Polytechnic. The form provides her personal details like name, student ID number, date of birth, religion, phone number, address, education background and previous organizational experience. It also mentions the registration and returning fees along with contact details for more information.

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sitti hajar Syapira
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25 views1 page

Panitia Pelaksana Open Recruitment Dan Leadership Training Unit Kegiatan Mahasiswa (Ukm) Bahasa Politeknik Negeri Ujung Pandang

This document is a registration form for a student named Nur Irna Rahmadayanti Khair to participate in an open recruitment and leadership training event organized by the UKM Bahasa student organization at the Ujung Pandang State Polytechnic. The form provides her personal details like name, student ID number, date of birth, religion, phone number, address, education background and previous organizational experience. It also mentions the registration and returning fees along with contact details for more information.

Uploaded by

sitti hajar Syapira
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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No.

: 015

PANITIA PELAKSANA OPEN RECRUITMENT


DAN LEADERSHIP TRAINING
UNIT KEGIATAN MAHASISWA (UKM) BAHASA
POLITEKNIK NEGERI UJUNG PANDANG
Sekretariat: PKM Politeknik Negeri Ujung Pandang
Jln. Perintis Kemerdekaan Km. 10 Tamalanrea Makassar 90245
Telp: 085 823 735 113 Email: [email protected]

REGISTRATION FORM

FULL NAME : NUR IRNA RAHMADAYANTI KHAIR


NICK NAME : IRNA
LEDGER (STAMBUK) : 332 19 003
DEPARTEMENT : CHEMICAL ENGINEERING
PLACE AND DATE OF BIRTH : MAKASSAR, OCTOBER 30th 2001
SEX : FEMALE
RELIGION : ISLAM
PHONE NUMBER : 085 256 572 806
HOBBY : LISTENING TO MUSIC
ADDRESS IN MAKASSAR : TAMAN SUDIANG INDAH J03/05

REGIONAL FROM : MAKASSAR


SCHOOL ORIGION : SENIOR HIGH SCHOOL 21 MAKASSAR
EDUCATION BACKGROUND :
1. ELEMENTARY SCHOOL PAI II MAKASSAR
2. JUNIOR HIGH SCHOOL 12 MAKASSAR
3. SENIOR HIGH SCHOOL 21 MAKASSAR
ORGANIZATION EXPERIENCE:
1. OSIS
2. CHOIR
3. -
LINGUISTIC ACTIVITIES HAVE BEEN FOLLOWED :
TRAINING : -

COURSE :-

CONTEST : -

MAKASSAR, JULY 23th 2020

Pas Foto
3x4
Latar Biru Tua

NUR IRNA R K
Nb :
 Use English and capital letters
 Register form must be typed using times new roman size 11 and laminated
 Taking form fee is Rp. 15.000,-
 Returning form fee is Rp. 15.000,-
 Returning form period end on March 27th 2020
 For more information, contact us via WA 085 823 735 113, http://ukmbahasa.poliupg.ac.id
or in Secretariat of UKM Bahasa Politeknik Negeri Ujung Pandang

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