Surat Permohonan Menjadi Anggota organisasi

Badan Hukum No. 148A/BH/II/17-69-Tanggal 20 Agustus 1996 Jl. Mayjen Haryono 169 Telp. (0341) 552995, Fax. (0341) 552995 Malang

SUAT !"#$H$NAN #"N%A&I AN''$TA (!I UNI)"SITAS UNI)"S ITAS BA* B A*I%A+ I%A+A A #A,AN'

Yang Yang beran!a angan !" ba#a$ ba#a $ "n" %aya &  'aa

&     

Tepa* Tepa*Ta Tanggal nggal la$"r &          '"p*'"+

&     

Fa+la%

&   

-ang+a*ol

&   

/a%

& -ega#a" 'eger"* alpeg* Honorer * Teap 'on -'/

la laa a  a$

&                       

Telp

&   

a"l

&   

engan engan "n" engaj engaj+an +an pero$ pero$onan onan enja! enja!"" anggoa anggoa - - 7n"8er 7n"8er%" %"a% a% ra#" ra#"jay jayaa Malang Malang er$"ng %eja+   a" a" %angg %anggp p een een$" $" pera peraran ran:per :pera aran ran yang yang berla+ berla+  !" - - 7n"8er 7n"8er%" %"a% a% ra#"j ra#"jaya aya Malang.

er%aa "n" +a" lap"r+an pla +eleng+apannya %ebaga" ber"+ & 1. -a% -$o -$oo o +ran +ran 2;3 2;3 %ebany %ebanya+ a+ 2 leba lebar. r. 2. Foo Foo
e"+"an %ra pero$onan "n", aa% per$a"an !an +erja%aanya %aya 
Mengea$" en!a$ara*Jr bayar

Malang,    -eo$on

()

()