pusat humas universitas sanata dharma petugas... · web viewpengalaman berorganisasi/kegiatan di...
Post on 28-May-2019
218 Views
Preview:
TRANSCRIPT
Terakreditasi A, SK BAN-PT No: 2993/SK/BAN-PT/Akred/PT/XII/2016Jalan Affandi, Mrican, Caturtunggal, Depok, Sleman, Yogyakarta 55281
Formulir PendaftaranPetugas PMB & Promosi USD T.A. 2019/2020
1. Nama Lengkap : ___________________________________________________________2. Nama Panggilan : ___________________________________________________________3. Program Studi : ___________________________________________________________4. Nomor Mahasiswa : ___________________________________________________________5. SKS yang telah ditempuh : ___________________________________________________________6. IPK : ___________________________________________________________7. Tempat, Tanggal Lahir : ___________________________________________________________8. Jenis Kelamin : ___________________________________________________________9. Agama : ___________________________________________________________10. Alamat Asal : ___________________________________________________________11. Alamat Kos : ___________________________________________________________12. Nomor HP/WA : ___________________________________________________________ 13. E-mail : ___________________________________________________________ 14. Motivasi Mendaftar : ___________________________________________________________15. Pengalaman berorganisasi/kegiatan di kampus : ____________________________________________
___________________________________________________________________________________16. Pengalaman berorganisasi/kegiatan di luar kampus : ________________________________________
___________________________________________________________________________________17. Pengalaman Kerja : ________ ___________________________________________________________
___________________________________________________________________________________18. Program-program komputer yang dikuasai : _______________________________________________
___________________________________________________________________________________19. Keahlian khusus/keistimewaan yang dimiliki : ______________________________________________
___________________________________________________________________________________20. Asal Sekolah
Nama : ___________________________________________________________________________Alamat : _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Yogyakarta, ____________________
______________________________Tanda Tangan & Nama Lengkap
top related