Dokumen.tips_format-biodata-orang-tua-ayah-2015.pdf
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BIODATA ORANG TUA (AYAH) 1
Nama Ayah
: ________________________________________________________
2
Tempat / Tanggal Lahir
: ________________________ / ____________________________
3
Agama
: ________________________________________________________
4
Kewarganegaraan
:
5
Suku Bangsa
: ________________________________________________________
6
Alamat Lengkap
: a. Jalan _________________________________________________
WNI
WNA
b. Kampung _____________________________________________ c. Desa _________________________________________________ d. RT. ____________ RW. ______________ No. _______ e. Kel. __________________________________________________ f. Kec. _________________________ Prov. ___________________ 7
Pandidikan Terakhir
:
SD / SMP
S1
SLTA
S2 / S3
DIPLOMA
8
Pekerjaan
:
TNI / POLRI
Karyawan Swasta
PNS
Wiraswasta
Pegawai BUMN
Lain-lain ____________________
9
Golongan/Jabatan
: ________________________________________________________
10
Penghasilan (Bulan)
: Rp. _____________________________________________________
11
Alamat Tempat Bekerja
: ________________________________________________________ ________________________________________________________
12
No. Telp. Rumah / HP.
: _________________________ / ____________________________
13
E_mail
: ________________________________________________________
Nama Ayah
: ________________________________________________________
2
Tempat / Tanggal Lahir
: ________________________ / ____________________________
3
Agama
: ________________________________________________________
4
Kewarganegaraan
:
5
Suku Bangsa
: ________________________________________________________
6
Alamat Lengkap
: a. Jalan _________________________________________________
WNI
WNA
b. Kampung _____________________________________________ c. Desa _________________________________________________ d. RT. ____________ RW. ______________ No. _______ e. Kel. __________________________________________________ f. Kec. _________________________ Prov. ___________________ 7
Pandidikan Terakhir
:
SD / SMP
S1
SLTA
S2 / S3
DIPLOMA
8
Pekerjaan
:
TNI / POLRI
Karyawan Swasta
PNS
Wiraswasta
Pegawai BUMN
Lain-lain ____________________
9
Golongan/Jabatan
: ________________________________________________________
10
Penghasilan (Bulan)
: Rp. _____________________________________________________
11
Alamat Tempat Bekerja
: ________________________________________________________ ________________________________________________________
12
No. Telp. Rumah / HP.
: _________________________ / ____________________________
13
E_mail
: ________________________________________________________
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