BIODATA PESERTA

PENGUATAN TENAGA PENGELOLA BOS

KEMENTERIAN AGAMA KABUPATEN DEMAK
TAHUN ANGGARAN 2015

Nama : .......................................................................................................
NIP. : .......................................................................................................
Pangkat / Gol. : .......................................................................................................
Tempat, Tgl Lahir : .......................................................................................................
KKM/Tempat Tugas : .......................................................................................................
Alamat Tempat Tugas : .......................................................................................................
Alamat rumah : .......................................................................................................

PENDIDIKAN TERAKHIR
1. ...............................................................................................................................................
2. ...............................................................................................................................................
3. ...............................................................................................................................................
PENGALAMAN BEKERJA
1. ...............................................................................................................................................
2. ...............................................................................................................................................
3. ...............................................................................................................................................

Kudus , 18 Agustus 2015

Peserta,

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NIP. .........................................
 BIODATA NARASUMBER
PENGUATAN TENAGA PENGELOLA BOS
KEMENTERIAN AGAMA KABUPATEN DEMAK
TAHUN ANGGARAN 2015

Nama : .......................................................................................................
NIP. : .......................................................................................................
Pangkat / Gol.: .......................................................................................................
Tempat, Tgl Lahir : .......................................................................................................
Pend. Terakhir : .......................................................................................................
Tempat Tugas: .......................................................................................................
Alamat Kantor : .......................................................................................................
Telp. Kantor : .......................................................................................................
Materi : .......................................................................................................

PENGALAMAN JABATAN
1. ..............................................................................................................................................
2. ..............................................................................................................................................
3. ..............................................................................................................................................
PENGALAMAN PELATIHAN
1. ..............................................................................................................................................
2. ...............................................................................................................................................
3. ...............................................................................................................................................
4. ...............................................................................................................................................

Kudus, 18 Agustus 2015

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NIP. ..........................................