No. Anggota PENCAKER : ..............................................................................................................
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Nomor KTP : ..........................................................................................................................
1. Nama : ...........................................................................................................................
2. Tempat & tgl Lahir :........................................................................... Usia : ....................................
3. Tinggi badan : .................... cm, Berat Badan : .......................... kg.
4. Jenis Kelamin :..........................................................................................................................
5. Agama :.........................................................................................................................
6. Pendidikan Terakhir : ........................Jurusan : ...............................................lulus tahun : .............
7. Pendidikan non Formal / Kursus
a. Komputer : ......................................................................... ( aktif / pasif )
b. Bahasa Asing : ......................................................................... ( aktif / pasif )
c. Lainnya : ......................................................................... ( aktif / pasif )
8. Kemampuan / Keterampilan yang Di kuasai :
...........................................................................................................................................................
9. Pengalaman Kerja (maks 2 tempat Terakhir)
a. di pt............................................................... Bagian :.................................. berapa lama : ............
b. di pt............................................................... Bagian :.................................. berapa lama : ............
10. pesan / memo / catatan :
.................................................................................................................................................................
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