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Biodata Peserta Form for IME Training

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BIODATA PESERTA NAMA LENGKAP : _________________________________________________ JENIS KELAMIN : _________________________________________________ TEMPAT/TGL LAHIR : _________________________________________________ EMAIL : _________________________________________________ ALAMAT RUMAH : _________________________________________________ TELEPON RUMAH/HP : _________________________________________________ JABATAN DI SEKOLAH : _________________________________________________ NAMA INSTANSI : _________________________________________________ ALAMAT INSTANSI : _________________________________________________ EMAIL INSTANSI : _________________________________________________ WEBSITE INSTANSI : _________________________________________________ KESAN DAN PESAN TENTANG MATERI TRAINING “IME” : ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ KESAN DAN PESAN TENTANG PEMATERI TRAINING “IME” : ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ HARAPAN SETELAH MENGIKUTI TRAINING “IME” : ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ___________,______________ (________________________)

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Biodata Peserta Form for IME Training

  • 1. BIODATA PESERTA NAMA LENGKAP : _________________________________________________ JENIS KELAMIN : _________________________________________________ TEMPAT/TGL LAHIR : _________________________________________________ EMAIL : _________________________________________________ ALAMAT RUMAH : _________________________________________________ TELEPON RUMAH/HP : _________________________________________________ JABATAN DI SEKOLAH : _________________________________________________ NAMA INSTANSI : _________________________________________________ ALAMAT INSTANSI : _________________________________________________ EMAIL INSTANSI : _________________________________________________ WEBSITE INSTANSI : _________________________________________________ KESAN DAN PESAN TENTANG MATERI TRAINING “IME” : ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ KESAN DAN PESAN TENTANG PEMATERI TRAINING “IME” : ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ HARAPAN SETELAH MENGIKUTI TRAINING “IME” : ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ___________,______________ (________________________)