formulir pendaftaran tenaga kerja waktu tertentu tahun 20161

1
FORMULIR PENDAFTARAN Nama Lengkap & Gelar : ................ ............................ ............................ ............................ ..................... Tempat/Tanggal Lahir : ......................................................................................................................... Alamat : ......................................................................................................................... .............. ....... ....... ....... ....... .......... ....... ....... ....... ....... ...... .......... ....... ....... ....... .... Jenis kelamin : L/P Agama : ......................................................................................................................... Status : Kawin/Belum Kawin/Duda/Janda* Pendidikan terakhir : ......................................................................................................................... IPK/Nilai Ijazah : ........................................................................................................................ Pendidikan Non Formal/ Kursus-kursus : 1. ..................................................................................................................... 2 . ..................................................................................................................... 3 . ..................................................................................................................... 4 . ..................................................................................................................... Pengalama Kerja : 1. ..................................................................................................................... 2 . ..................................................................................................................... 3 . ..................................................................................................................... 4 . ..................................................................................................................... No HP/Telp : ......................................................................................................................... Alamat Email : ......................................................................................................................... Formasi yang di pilih (lingkari salah satu) : 01. 02. 03. 04. 05. 06. 07. 08. 09. 10. 11. Operator Elektronik Planning Petugas Elektronik Disposisi dan Elektronik Arsip Operator Database Badan Perencanaan Pembangunan Daerah Operator Aplikasi Database monitoring dan Evaluasi Petugas pengembangan ekonomi lokal daerah Petugas percepatan penanggulangan kemiskinan daerah Tenaga Operator GIS pada Planning Gallery Tenaga Operator Sistem Informasi Ramdal Tenaga Operator GIS pada Perencanaan Tata Ruang Tenaga Kontrak untuk Air Minum dan Sanitasi Pengembangan Tenaga untuk Perencanaan Pusat Pertumbuhan Ekonomi Martapura, Pelamar, .......... ....... .. .. ... .... .. . .. .... . .... .. .. ....

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Page 1: Formulir Pendaftaran Tenaga Kerja Waktu Tertentu Tahun 20161

FORMULIR PENDAFTARAN

Nama Lengkap & Gelar : .........................................................................................................................

Tempat/Tanggal Lahir: .........................................................................................................................

Alamat : .........................................................................................................................

.........................................................................................................................

Jenis kelamin : L/P

Agama : .........................................................................................................................

Status : Kawin/Belum Kawin/Duda/Janda*

Pendidikan terakhir : .........................................................................................................................

IPK/Nilai Ijazah : ........................................................................................................................

Pendidikan Non Formal/Kursus-kursus : 1. .....................................................................................................................

2. .....................................................................................................................

3. .....................................................................................................................

4. .....................................................................................................................

Pengalama Kerja : 1. .....................................................................................................................

2. .....................................................................................................................

3. .....................................................................................................................

4. .....................................................................................................................

No HP/Telp : .........................................................................................................................

Alamat Email : .........................................................................................................................

Formasi yangdi pilih(lingkari salahsatu)

: 01.02.03.04.05.06.07.08.09.10.11.

Operator Elektronik PlanningPetugas Elektronik Disposisi dan Elektronik ArsipOperator Database Badan Perencanaan Pembangunan DaerahOperator Aplikasi Database monitoring dan EvaluasiPetugas pengembangan ekonomi lokal daerahPetugas percepatan penanggulangan kemiskinan daerahTenaga Operator GIS pada Planning GalleryTenaga Operator Sistem Informasi RamdalTenaga Operator GIS pada Perencanaan Tata RuangTenaga Kontrak untuk Air Minum dan Sanitasi PengembanganTenaga untuk Perencanaan Pusat Pertumbuhan Ekonomi

Martapura,Pelamar,..................................................