Form Pendftrancbf.docx

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PANITIA OPEN RECRUITMENT CEMPAKA BIO FARM FAKULTAS MATEMATIKA DAN ILMU PENGETAHUAN ALAM UNIVERSITAS NEGERI SEMARANG Sekretariat: Komplek PKM FMIPA Unnes, Sekaran, Gunungpati, Semarang 50229 FORMULIR PENDAFTARAN FUNGSIONARIS CEMPAKA BIO FARM (CBF) Nama : NIM: Prodi : Rombel : Tempat, tanggal lahir: Alamat kos: Nomor HP/WA: Minat: PH (Pengurus Harian)

Divisi Danus

Divisi Keilmiahan

Divisi Humas

Divisi PSDM

Divisi IPGH

*di contreng maks 2 Alasan Memilih Divisi Tersebut :................................................................................................... ............................................................................................................................................................ ............................................................................................................................................................ ............................................................................................................................................................ ............................................................................................................................................................ ............................................................................................................................................................ ............................................................................................................................................................

Semarang,

Oktober 2018

(............................................)

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