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    Formulir Pendaftaran

    Uploaded by

    Rizqi Amaliyah Fauzi
    This document contains a registration form for participants of the Leadership and Organizing Training (LOT) II hosted by the Student Government of the Faculty of Industrial Technology at the Institut Teknologi Sepuluh Nopember in 2012. The form requests information such as name, student ID number, addresses, contact details, GPA, life motto, motivations for joining, plans for third year, suggestions for the student government, and experiences from 2011-2012, as well as a statement of truth agreeing to participate in selection activities.

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    Formulir Pendaftaran

    Uploaded by

    Rizqi Amaliyah Fauzi
    11 views2 pages
    This document contains a registration form for participants of the Leadership and Organizing Training (LOT) II hosted by the Student Government of the Faculty of Industrial Technology at the Institut Teknologi Sepuluh Nopember in 2012. The form requests information such as name, student ID number, addresses, contact details, GPA, life motto, motivations for joining, plans for third year, suggestions for the student government, and experiences from 2011-2012, as well as a statement of truth agreeing to participate in selection activities.

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    Original Title

    FORMULIR PENDAFTARAN

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    This document contains a registration form for participants of the Leadership and Organizing Training (LOT) II hosted by the Student Government of the Faculty of Industrial Technology at the Institut Teknologi Sepuluh Nopember in 2012. The form requests information such as name, student ID number, addresses, contact details, GPA, life motto, motivations for joining, plans for third year, suggestions for the student government, and experiences from 2011-2012, as well as a statement of truth agreeing to participate in selection activities.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    11 views2 pages

    Formulir Pendaftaran

    Uploaded by

    Rizqi Amaliyah Fauzi
    This document contains a registration form for participants of the Leadership and Organizing Training (LOT) II hosted by the Student Government of the Faculty of Industrial Technology at the Institut Teknologi Sepuluh Nopember in 2012. The form requests information such as name, student ID number, addresses, contact details, GPA, life motto, motivations for joining, plans for third year, suggestions for the student government, and experiences from 2011-2012, as well as a statement of truth agreeing to participate in selection activities.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    Pas Photo

    Berwarna

    FORMULIR PENDAFTARAN
    (Leadership and Organizing Training )
    LOT II BEM FTI ITS 2012

    4x6

    Nama

    :.....................................................................................................

    NRP

    :.....................................................................................................

    Alamat Asal

    :.....................................................................................................

    Alamat Surabaya

    :.....................................................................................................

    No. TeLp / HP

    :.....................................................................................................

    E-mail

    :.....................................................................................................

    IPK

    :.....................................................................................................

    Motto Hidup

    :.....................................................................................................

    Motivasi mengikuti LOT 2 :.....................................................................................................


    ......................................................................................................
    ......................................................................................................
    ......................................................................................................
    Rencana di tahun ketiga

    :.....................................................................................................
    ......................................................................................................
    ......................................................................................................

    Saran untuk BEM FTI ITS kedepannya : ..................................................................................


    ......................................................................................................
    ......................................................................................................
    ......................................................................................................
    ......................................................................................................

    Pengalaman paling berkesan di BEM FTI ITS 2011-2012 :


    ......................................................................................................
    ......................................................................................................
    ......................................................................................................
    ......................................................................................................
    PERNYATAAN

    :*Tulis ulang pernyataan dibawah ini*


    Dengan ini saya menyatakan bahwa data yang saya isikan
    dalam

    formulir

    ini

    adalah

    BENAR

    dan

    saya

    bersedia

    mempertanggungjawabkannya serta bersedia mengikuti seluruh


    rangkaian kegiatan seleksi calon peserta LOT II BEM FTI ITS
    2012
    ......................................................................................................
    ......................................................................................................
    ......................................................................................................
    ......................................................................................................
    ......................................................................................................
    ......................................................................................................
    ......................................................................................................

    Surabaya,

    *Formulir ini dapat diperbanyak

    Mei 2012

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