183853_form2016 yang fix

5
FORM PENDAFTARAN PENGURUS HMDT (HIMPUNAN MAHASISWA D3 TEKNIK TELEKOMUNIKASI) 2016 · Biodata Diri Nama : NIM : Kelas : TTL : Alamat : Agama : No. HP/Email : Motto : Id line : · Kelebihan dan Kekurangan Diri : ................................................. ................................................. ................................................. ................................................. ................................................. ................................................. ................................................. ................................................. ................................................. ................................................. ................................................. ................................................. .. FOTO 3X4

Upload: luky-renaldi

Post on 13-Apr-2016

221 views

Category:

Documents


0 download

DESCRIPTION

ff

TRANSCRIPT

Page 1: 183853_Form2016 Yang FIX

FORM PENDAFTARAN

PENGURUS HMDT

(HIMPUNAN MAHASISWA D3 TEKNIK TELEKOMUNIKASI) 2016

· Biodata DiriNama :NIM :Kelas :TTL :Alamat :Agama :No. HP/Email :Motto :Id line :

· Kelebihan dan Kekurangan Diri :..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

PENGALAMAN ORGANISASI

Organisasi Jabatan

FOTO 3X4

Page 2: 183853_Form2016 Yang FIX

ORGANISASI YANG SEDANG DI IKUTI SEKARANG

Organisasi Jabatan

PENGALAMAN KEPANITIAAN JABATAN

PENGALAMAN KEPANITIAAN YANG

SEDANG DIIKUTIJABATAN

Page 3: 183853_Form2016 Yang FIX

· Pilihan Departemen (Prior 1 & Prior 2)

o Dept. SDM

o Dept. Internal

o Dept. Eksternal

o Dept. Kaderisasi

o Dept. Riset dan Teknologi

o Departemen Pengabdian Masyarakat

o Dept. Kewirausahaan

o Dept. Komunikasi dan Informasi

o Dept. Olahraga Seni dan Budaya

o Staff Badan Perwakilan Mhasiswa

· Alasan Kuat pilih departemen tersebutPrior 1: ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................Prior 2: ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................

· Kontribusi apa setelah menjadi staff

Bandung,_______________ 2016

Page 4: 183853_Form2016 Yang FIX

( )