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This document is a registration form for the Open Recruitment & Leadership Training at the UKM Bahasa of Politeknik Negeri Ujung Pandang. It includes personal information of the applicant, A. Fadel Muhammad Yasin, along with details about his education, hobbies, and organizational experience. The form also outlines registration requirements, fees, and submission deadlines.
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0% found this document useful (0 votes)
4 views

null-1-1

This document is a registration form for the Open Recruitment & Leadership Training at the UKM Bahasa of Politeknik Negeri Ujung Pandang. It includes personal information of the applicant, A. Fadel Muhammad Yasin, along with details about his education, hobbies, and organizational experience. The form also outlines registration requirements, fees, and submission deadlines.
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.

: 135

PANITIA PELAKSANA
OPEN RECRUITMENT & 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: 081 243 311 336 Email: [email protected]

REGISTRATION FORM

FULL NAME : A.FADEL MUHAMMAD YASIN


NICK NAME : FADEL
LEDGER (STAMBUK) 44323015
DEPARTEMENT : MECHANICAL ENGINEERING
PLACE AND DATE OF BIRTH : WATAMPONE, JULI 7th 2005
SEX : MALE
RELIGION : ISLAM
PHONE NUMBER 085942597808
HOBBY : RUNNING
ADDRESS IN MAKASSAR : BUMI PERMATA SUDIANG BLOCK G3/NO6
REGIONAL FROM : BONE
SCHOOL ORIGION : STATE HIGH SCHOOL 2 BONE
EDUCATION BACKGROUND :
1. STATE HIGH SCHOOL 2 BONE
2. STATE JUNIOR HIGH SCHOOL 4 CINA
3. IMPRES ELEMENTARY SCHOOL 12/79 ABBUMPUNGENG
ORGANIZATION EXPERIENCE :
1. SCOUT
LINGUISTIC ACTIVITIES HAVE BEEN FOLLOWED :

X TRAINING : KAMPUNG INGGRIS PARE

X COURSE : ENGLISH

X CONTEST : STORY TELLING

MAKASSAR, FEBRUARY 6th 2024

Pas Foto
3x4
Latar Biru
A.FADEL MUHAMMAD YASIN

Nb
:
 Use English and capital letters
 Register form must be typed using times new roman font 11 and convert to pdf
 Taking form fee is Rp30.000,-
 Down payment (DP) is at least Rp20.000,-
 Returning form period end on February 14th 2024
 For more information, contact us via WA 081 343 430 599, http://ukmbahasa.poliupg.ac.id
or in Secretariat of UKM Bahasa Politeknik Negeri Ujung Pandang

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