FORUM LEMBAGA MAHASISWA PERINDUSTRIAN INDONESIA
AKADEMI PIMPINAN PERUSAHAAN
DEPARTEMEN PERINDUSTRIAN R.I
Sekretariat : Kampus APP, Jl. Timbul No.34 Cipedak – Jakarta
Telp : 0898 8744 373
FORMULIR PENDAFTARAN
PENGURUS FLMPI
Nama Lengkap :.......................................................................................................
Nama Panggilan :.......................................................................................................
Tempat Tanggal Lahir :........................................................................................................
NIM :.......................................................................................................
Alamat :.......................................................................................................
.......................................................................................................
.......................................................................................................
Nama Orang Tua :.......................................................................................................
Pekerjaan Orang Tua :.......................................................................................................
Asal Sekolah :.......................................................................................................
Pengalaman Organisasi :.......................................................................................................
.......................................................................................................
.......................................................................................................
Motto :.......................................................................................................
Motivasi ikut FLMPI :.......................................................................................................
.......................................................................................................
.......................................................................................................
Kelebihan yang dimiliki :.......................................................................................................
.......................................................................................................
.......................................................................................................
Kekurangan yang dimiliki :.......................................................................................................
.......................................................................................................
.......................................................................................................
|
Jakarta, Oktober 2009
........................................
Mengetahui,
Orang Tua / Wali
.............................................
*catatan : sebelah kiri atas dimasukkan lambang KEMENPERIND dan sebelah kiri di masukkan lambang FLMPI.
Tidak ada komentar:
Posting Komentar