PENGURUS KOMISARIAT
PERGERAKAN MAHASISWA
ISLAM INDONESIA
(Indonesian
Moeslem Student Movement)
STIT PRINGSEWU
JL. Wonokriyo Des. Wonokriyo
kec gadingrejo kab Pringsewu Lampung
HP. 085766663166/082377590905 Email: PMII.kom.stitpsw@gmail.com
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FORMULIR PENDAFTARAN
CALON ANGGOTA BARU
Yang
Bertandatangan Di Bawah ini :
Nama Lengkap :
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Nama panggilan :
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TTL : .........................................................................
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Jenis Kelamin : .........................................................................
No. HP Aktif : .........................................................................
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Facebook : .........................................................................
Pengalaman Organisasi :
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Tujuan Mengikuti PMII :
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Moto Hidup : ...............................................................................................................
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.......................................... , Februari 2014
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