Biodata Kaur Keuangan.xls

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BIODATA KEPALA URUSAN KEUANGAN SEBAGAI BENDAHARA DESA S

1

NAMA PEMOHON

:

2

NAMA PEJABAT

: G

I

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SEBELUMNYA 3

TEMPAT/TANGGAL LAHIR

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,

1

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4

JENIS KELAMIN

:

P

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R

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NIK

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3

6

0

2

1

6

5

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9

6

KECAMATAN

:

C

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U

7

DESA

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ALAMAT

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D

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10 NRPDES

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1

9

9

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0

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6

11 NOMOR SK SEBELUMNYA*)

:

12 NOMOR SK SAAT INI

:

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U N

2

0

1

8

13 JABATAN SEBELUMNYA *)

:

14 JABATAN SAAT INI

:

D

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15 MASA JABATAN

:

16 PENDIDIKAN TERAKHIR

:

17 AGAMA

9

INSTANSI

B

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N

D

A

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A

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:

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18 NOMOR BPJS KESEHATAN

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-

19 KODE REKENING

:

-

20 STATUS

:

B

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L

U M

21 NOMOR HP

:

0

8

1

2

1

22 NOMOR WA

:

0

8

5

7

23 EMAIL

:

s

t

y

.

24 TANDA TANGAN

:

25 FOTO

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3X4

Cihujan, 31 Desember 2018 Pemohon

Menyetujui Kepala Desa Cihujan

HJ BEDAH MARWIAH

SITI HASANAH Mengetahui

NIP

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