formulir pendaftaran pengurus harian osis

ORGANISASI SISWA INTRA SEKOLAH (OSIS)

SMK NEGERI 1 MALUKJl. Raya Maluk Kec. Maluk KSB

E-mail : osis_smkn1maluk@yahoo.com, Website : osissmkn1maluk.blogspot.com

FORMULIR PENDAFTARAN PENGURUS HARIAN OSISSMKN 1 MALUK

(Masa Bakti 2013 - 2014)

“BE A FUTURE LEADER”

Nama Lengkap : …………………………………………………………………….

Nama Panggilan : …………………………………………………………………….

Kelas : …………………………………………………………………….

Tempat/tgl lahir : …………………………………………………………………….

Umur : …………………………………………………………………….

Alamat Rumah : …………………………………………………………………….

No. HP : …………………………………………………………………….

Jabatan di kelas : …………………………………………………………………….

Prestasi yang pernah diraih :

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

Motto : …………………………………………………………….

Jabatan yang diinginkan : …………………………………………………………….Alasan :.…………………………………………………………….

…………………………………………………………….Hobi : ……………………………………………………………. …………………………………………………………….

Maluk, September 2013

Orang tua siswa siswa

(………………………..) (………………………..)