ORGANISASI SISWA INTRA SEKOLAH (OSIS) R 2EG (Respect Responsif and Eternity Generation) SMA NEGERI 1 MEULABOH Jln. Imam Bonjol No. 1 Telp. (0655) 7007592 EMAIL :
[email protected]
FORMULIR PENDAFTARAN PENGURUS MPK 2015/2016 Nama
: __________________ ______________________________________ _____________________ _
Tempat, Tanggal Lahir
: __________________ ______________________________________ _____________________ _
Alamat Rumah
: _____________________ __________________
Kelas
: __________________ ______________________________________ _____________________ _
Nama Orang Tua
: __________________ ______________________________________ _____________________ _
Nomor Telp. / HP
: __________________ ______________________________________ _____________________ _
Cita - cita
: __________________ ______________________________________ _____________________ _
Motto Hidup
: __________________ ______________________________________ _____________________ _
Alamat * E MAIL
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* FACEBOOK
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* TWITTER
: __________________ ______________________________________ _____________________ _
*INSTAGRAM
: __________________ ______________________________________ _____________________ _
PENGALAMAN BERORGANISASI
: ________________ Jabatan ________________ ________________ Jabatan J abatan ________________ ________________ Jabatan J abatan ________________
PRESTASI ** AKADEMIK
: __________________ ______________________________________ _____________________ _
** NON AKADEMIK
: __________________ ______________________________________ _____________________ _
ORGANISASI SISWA INTRA SEKOLAH (OSIS) R 2EG (Respect Responsif and Eternity Generation) SMA NEGERI 1 MEULABOH Jln. Imam Bonjol No. 1 Telp. (0655) 7007592 EMAIL :
[email protected]
FORMULIR PENDAFTARAN PENGURUS MPK 2015/2016 Nama
: __________________ ______________________________________ _____________________ _
Tempat, Tanggal Lahir
: __________________ ______________________________________ _____________________ _
Alamat Rumah
: _____________________ __________________
Kelas
: __________________ ______________________________________ _____________________ _
Nama Orang Tua
: __________________ ______________________________________ _____________________ _
Nomor Telp. / HP
: __________________ ______________________________________ _____________________ _
Cita - cita
: __________________ ______________________________________ _____________________ _
Motto Hidup
: __________________ ______________________________________ _____________________ _
Alamat * E MAIL
: __________________ ______________________________________ _____________________ _
* FACEBOOK
: __________________ ______________________________________ _____________________ _
* TWITTER
: __________________ ______________________________________ _____________________ _
*INSTAGRAM
: __________________ ______________________________________ _____________________ _
PENGALAMAN BERORGANISASI
: ________________ Jabatan ________________ ________________ Jabatan J abatan ________________ ________________ Jabatan J abatan ________________
PRESTASI ** AKADEMIK
: __________________ ______________________________________ _____________________ _
** NON AKADEMIK
: __________________ ______________________________________ _____________________ _
