FORMULIR PENDAFTARAN DEMA

FORMULIR PENDAFTARAN
DEWAN EKSEKUTIF MAHASISWA
FAKULTAS EKONOMI
UIN MAULANA MALIK IBRAHIM MALANG
PERIODE 2017
Sekretariat : Jl. Gajayana No. 50 Malang, Gedung Sport Center Lt. 1 No. Hp : 085755290687

informasi pribadi

Nama Lengkap

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NIM

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Tempat Lahir

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Agama

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Tanggal Lahir

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Golongan Darah

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No. Telp/Hp

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Alamat Rumah

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Hobby

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Alamat Kos

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Pengalaman organisasi

Ada

Tidak Ada

(Jika Ada)
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4X6

KEMAMPUAN-KEAHLIAN

Public Speaking
Design Grafis (Photo Shop,
Corell Draw, dll)
Iptek
Tulis-Menulis
Talent (Music, Dance)
Banjari, Qiro’ah
Lainnya

5....................................................sebagai.......................................................
Prestasi yang pernah diraih (akedemik-non akademik
Motto hidup
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