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FORMULIR PENDAFTARAN PELATIHAN BLK LOMBOK TENGAH BATCH 1 TAHUN 2025
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NIK
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Nama Lengkap
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Tempat Lahir
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Tanggal Lahir
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Judul Tanpa Judul
N
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Jenis Kelamin
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Golongan Darah
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Agama
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Alamat Jalan/Dusun
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Desa/Kelurahan
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Kecamatan
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Kabupaten
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Provinsi
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Pendidikan Terakhir
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Asal sekolah
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Tahun Lulus
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No HP
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Apakah anda sudah memilikI akun SIAPKerja (www.kemnaker.go.id)?
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Apakah Anda Sudah Pernah Mengikuti Pelatihan di BLK Lombok Tengah?
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PELATIHAN YANG PERNAH DIIKUTI
Nama kejuruan yang pernah diikuti (CONTOH : DESAIN GRAFIS)
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Tahun pelatihan yang pernah diikuti (CONTOH : 2020)
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PELATIHAN YANG AKAN DIIKUTI
Program Pelatihan Yang Akan diikuti
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BERKAS PERSYARATAN
KTP/Surat Keterangan Domisili
(Maksimal 1Mb)
(Maksimal 1Mb)
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Ijazah Terahir /atau Surat Keterangan Lulus /atau Surat Keterangan Bisa Baca Tulis
(Maksimal 1Mb)
(Maksimal 1Mb)
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Kartu Keluarga/KK
(Maksimal 1Mb)
(Maksimal 1Mb)
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Pasphoto Latar Merah
(Maksimal 1Mb)
(Maksimal 1Mb)
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