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  • Biodata Narasumber

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    Iwan Hartaji
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    7 views1 page

    Biodata Narasumber

    Uploaded by

    Iwan Hartaji

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    BIODATA NARA SUMBER

    Kegiatan : …………………………………………………………….

    1 Nama Buddy Santoso, SKM. MM

    2 Tempat, Tgl Lahir Pasuruan, 6 Maret 1964

    3 NIP 19640603 198603 1 019

    4 Jabatan/Golongan Penata Tk I / III D

    5 Pendidikan Terakhir S-2

    6 Alamat Rumah Jln. Teratai III/23 Bakalan-Bangil

    7 Tlp/HP 085232835995

    8 Nama Instansi Dinkes Prov. Jatim

    9 Alamat Instansi Jl. A. yani 118 Surabaya

    10 Telepon

    11 NPWP 47.525.737.4-624.000

    12 No. KTP
    *harus diisi utk rekap pajak

    Sleman, ……………………… 2023

    ……………………………………..

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