BIODATA CALON ASISTEN/PROGRAMMER 2016
Laboratorium Manajemen Dasar Universitas Gunadarma.
ISILAH DENGAN LENGKAP
Angkatan *
Required
1. Nama Lengkap Peserta *
Your answer
2. NPM *
Contoh: 52413544
Your answer
3. Kelas *
Contoh: 2IA18
Your answer
4. Tempat / Tanggal Lahir *
Contoh: Bekasi / 09 Juli 1995
Your answer
5. Jenis Kelamin *
6. Agama *
Your answer
7. Tinggi / Berat Badan *
Contoh: 172cm / 70kg
Your answer
8. Hobi / Kegemaran *
Your answer
9. Golongan Darah *
Your answer
10. Nomor Hp *
Your answer
Pin BBM
Your answer
11. Nomor Telepon Rumah *
Your answer
12. Alamat E-Mail *
Your answer
13. Alamat Blog
Your answer
14. Alamat Facebook/Twiter/Path
Your answer
15. Alamat Rumah Orang Tua *
Your answer
16. Nomor telepon yang mudah di hubungi (Orangtua/Saudara) *
Contoh: Orangtua, 085773447799
Your answer
17. Alamat Sekarang *
Your answer
18. Ceritakan proses perjalanan ke kampus: (naik angkutan apa berapa lama) *
Contoh: Kelapa Dua: Naik Motor 2 jam 10 menit, Kalimalang: Naik Motor 30 menit
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms