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Lampiran

Nama Taruna/I : ……………………………………………………………………


Nomor Induk Taruna/I : ……………………………………………………………………
Jurusan : ……………………………………………………………………
Nama Perusahaan : ……………………………………………………………………
Nomor Indur Berusaha : ……………………………………………………………………
Bidang Usaha : ……………………………………………………………………
Alamat : ……………………………………………………………………
……………………………………………………………………..
……………………………………………………………………..
Kode Pos : ……………………………………………………………………
Nomor Telepon / Fax : ……………………………………………………………………
Email : ……………………………………………………………………
NPWP : ……………………………………………………………………
No MoU Perusahaan : ……………………………………………………………………
Tanggal Mulai MoU : ……………………………………………………………………
Tanggal Akhir MoU : ……………………………………………………………………
Nama Pimpinan : ……………………………………………………………………
Jabatan : ……………………………………………………………………
Nama Pembimbing : ……………………………………………………………………

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