FORMULIR PENDAFTARAAN VOLUNTEER SIPA 2011

Nama :…………………………………………………………….

Alamat : ……………………………………………………………

Pekerjaan : ……………………………………………………………

Jenis kelamin : ……………………………………………………………

No. HP : ……………………………………………………………

Email : ……………………………………………………………

Posisi yang diinginkan :

*Centang (√ ) salah satu formasi dibawah ini

( ) Sekretaris ( ) Sponsorship ( ) Acara

( ) Bendahara ( ) Humas ( ) Delegasi

Pengalaman organisasi (bila tidak cukup diisi dikertas lain ):

1. ...................................................................................................................................................

2. ...................................................................................................................................................

3. ...................................................................................................................................................

4. ...................................................................................................................................................

Surakarta, ............................, …….

Hormat Saya

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Tanda tangan disertai nama

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