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Formulir Biodata Peserta/Panitia PKP SMP N1 Tegallalang
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NIP
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No Surat Tugas
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Nama
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Jabatan
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Mata Pelajaran
Seni Budaya
IPS
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Status Kepegawaian
PNS
Non PNS
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Pangkat/Golongan (sesuai SK terakhir)
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Agama
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Jenis Kelamin
Laki - laki
Perempuan
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Tempat / Tanggal lahir (sesuai SK terakhir)
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Pendidikan (sesuai SK terakhir)
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Jurusan (sesuai Ijasah)
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Nama Unit Kerja (sesuai surat tugas)
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Alamat Unit Kerja (sesuai surat tugas)
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Kota/Kabupaten
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Provinsi
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Kode Pos (unit kerja)
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Telp/Fax
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Email
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website (unit kerja)
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Alamat Rumah
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Kota /Kabupaten (alamat rumah)
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Provinsi (alamat rumah)
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Kode Pos (alamat rumah)
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Telp/No_Hp
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Email
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NPWP
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