Unduhan – JURUSAN KIMIA FMIPA UNNES BIODATA ALUMNI

BIODATA ALUMNI
JURUSAN KIMIA FMIPA UNNES
Nama

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

NIM

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

Tempat/Tanggal Lahir

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

Alamat Asal

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

Telepon/HP

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


Agama

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

Jenis Kelamin

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

Nama Orang Tua
a. Ayah

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

b. Ibu
Alamat Orang Tua

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


Masuk UNNES melalui jalur : SNMPTN/SBMPTN/SM-UNNES
Masa Studi/IPK

: ........................................... semester / .....................................

Tanggal Kelulusan

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

Judul Skripsi/Tugas Akhir

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

....................................................................................................................................................
....................................................................................................................................................
Pekerjaan Pertama (sewaktu kuliah)
1) Instansi tempat bekerja : ......................................................................................
2) Tugas/pekerjaan

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


Semarang, ...............................................

(...............................................................)
NB: Bersedia/Tidak Bersedia mengikuti pamitan wisuda