FORMULIR PENDAFTARAN TRAINING OF TRAINER



PANITIA PELAKSANA TRAINING OF TRAINER
IKATAN PELAJAR NAHDLATUL ULAMA
IKATAN PELAJAR PUTRI NAHDLATUL ULAMA
KECAMATAN MEJOBO KUDUS
Sekretariat : Gedung MWC NU Kec. Mejobo Kab. Kudus 59381 Hp. 085727326633-089673123071


FORMULIR PENDAFTARAN

Nama                                             :  ....…………………………………………………………………...
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Alamat                                          :  Desa …………………..…………………….. Rt …..... Rw .…… Kecamatan ……………………. Kabupaten ……………………
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Pengalaman organisasi                  :  1. …………………………………………………………………...
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Tujuan mengikuti TOT                  :  ....…………………………………………………………………...
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Harapan mengikuti TOT               :  ....…………………………………………………………………...
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Pas foto
3 x4
 
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Kudus, ……………………… 2014 M.
     Hormat saya


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