Registration Form M Agus B 2013

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A.

PERSONAL INFORMATION
Name
Major
Batch
Phone Number

:
:
:
:

Other contact

Muhammad Agus Budiansyah


Electrical Engineering
2013
1. 087887276871
2.
3.
Line : magusb
BBM : Email : magusbu@gmail.com

B. REGISTRATION DETAIL
Briefly write in a few line about your hope to join the community
Saya ingin sekali bergabung karena ini merupakan kesempatan baik
untuk mengembangkan jaringan di luar major saya.

Classifier of business that You


interest to join
(Choose 3, put Your priority on
number 1)

1. Foodpreneur
2. Technopreneur
3. Creativepreneur

ex : technopreneur, foodpreneur,
creativepreneur, sociopreneur, etc
C. OTHER INFORMATION
Printscreened schedule from SIAK-NG

*We need this to organize meeting/mentoring schedule each week


Do you have a business
already?
(Please write here the name and
short detail of it)

Beeu Cafe
Small Mart online ordering

Feel free to ask :

0813 3521 4596 Whatsapp


Engineering 2013)

(Morien - Metalurgy & Material

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