Form Daftar Riwayat Hidup

Daftar Riwayat Hidup
a.       Nama Lengkap                  :....................................................................................................
b.      Tempat dan tgl. Lahir       : ...................................................................................................
c.       Jenis kelamin                     : ...................................................................................................
d.      Agama                               : ...................................................................................................
e.       Alamat                              : ...................................................................................................
f.       Tinggi badan                     : ...................................................................................................
g.      Berat badan                       : ...................................................................................................
i.        Keluarga                            : ...................................................................................................
1.      Nama ayah                  : ...................................................................................................
Tanggal lahir               : ...................................................................................................
Tempat lahir                : ...................................................................................................
Pekerjaan                     : ...................................................................................................
Pendidikan                  : ...................................................................................................
Alamat                                    : ...................................................................................................
2.      Nama ibu                     : ...................................................................................................
Tanggal lahir               : ...................................................................................................
Tempat lahir                : ...................................................................................................
Pekerjaan                     : ...................................................................................................
Pendidikan                  : ...................................................................................................
Alamat                                    : ...................................................................................................
j.        Anak ke-                           :...............dari...............bersaudara
k.      Pendidikan                                    : ...................................................................................................
1.      TK                               : ...................................................................................................
2.      SD Kelas I                  : ...................................................................................................
3.      SD Kelas II                 : ...................................................................................................
4.      SD Kelas III               : ...................................................................................................
5.      SD Kelas IV               : ...................................................................................................
6.      SD Kelas V                 : ...................................................................................................
7.      SD Kelas VI               : ...................................................................................................
l.        Hobi                                  : ...................................................................................................
m.    Prestasi                              : ...................................................................................................
n.      Cita-cita                            : ...................................................................................................


Kendal,..........................2018
Ttd





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