FORMULIR PENDAFTARAN hmj

FORMULIR PENDAFTARAN
HIMPUNAN MAHASISWA JURUSAN MANAJEMEN
FAKULTAS EKONOMI
UIN MAULANA MALIK IBRAHIM MALANG
MASA KHIDMAT 2016-2017
Sekretariat : Jl. Gajayana No. 50 Gedung Sport Center Lt.5, Malang
informasi pribadi

Nama Lengkap

: ............................................................................

Nim

: ............................................................................

Tempat Lahir

: ............................................................................

Agama

: ............................................................................

Tanggal Lahir

: ............................................................................

Golongan Darah

: ............................................................................

No. Telp/Hp

: ............................................................................

Alamat Rumah

: ............................................................................

Hobby

: ............................................................................

Alamat Kos

: ............................................................................

4X6

KEMAMPUAN-KEAHLIAN
Pengalaman organisasi
Public Speaking
Ada

Tidak Ada

(Jika Ada)

Design Grafis (Photo Shop,
Corell Draw, dll)

1....................................................sebagai.......................................................

Iptek

2....................................................sebagai.......................................................

Tulis-Menulis

3....................................................sebagai.......................................................

Talent (Music, Dance)

4....................................................sebagai.......................................................

Banjari, Qiro’ah

5....................................................sebagai.......................................................

Lainnya

Prestasi yang pernah diraih (akedemik-non akademik
Motto hidup
1...................................................................................................
2...................................................................................................
3...................................................................................................
4...................................................................................................

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

HIMPUNAN MAHASISWA JURUSAN MANAJEMEN
FAKULTAS EKONOMI
UIN MAULANA MALIK IBRAHIM MALANG
MASA KHIDMAT 2016-2017
Sekretariat : Jl. Gajayana No. 50 Gedung Sport Center Lt.5, Malang

Yang anda ketahui tentang himpunan mahasiswa jurusan Manajemen

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

Alasan anda ingin bergabung di himpunan mahasiswa jurusan MANAJEMEN

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

Demikian formulir pendaftaran ini saya isi dengan sebenar-benarnya dan dengan penuh rasa tanggung
jawab. Dengan ini saya mendaftarkan diri untuk menjadi bagian dari keluarga besar HMJ Manajemen
UIN Maulana Malik Ibrahim Malang Masa Khidmat 2016-2017.
Malang,

2016

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