Rabu, 26 Maret 2014

CONTOH FORMULIR PENDAFTARAN CALON ANAK SANGGAR SENI

FORMULIR PENDAFTARAN CALON ANAK SANGGAR SENI
PUTROE STMIK



Nama Lengkap                            : .....................................................................
Nama Panggilan                           :......................................................................
Jurusan                                         :......................................................................
Nim                                              :......................................................................
Tempat Tanggal Lahir                  :......................................................................
Jenis Kelamin                               :......................................................................
Alamat Asal                                 :......................................................................
Alamat Sekarang                          :......................................................................
Nomor Hp & Pin BBM                :......................................................................
Email                                            :......................................................................
Facebook                                      :......................................................................
Twiter                                           :......................................................................
Blog                                             :......................................................................
Cita – cita                                     :......................................................................
Hobi                                             : .....................................................................
Aktivitas selain sekolah               : .....................................................................
Kriteria Tempat TinggalLaju (Rumah Orang Tua)/Kost/Pondok
Tempat Kost/Pondok                   :.....................................................................
Potensi seni yang dimiliki            : ....................................................................
Prestasi yang pernah dicapaI        :.....................................................................
Kegiatan Ekstra Kurikuler           :.....................................................................
Kebiasaan baik yang dilakukan   :.....................................................................
Kebiasaan buruk yang dilakukan :.....................................................................
Pengalaman dibidang seni            :.....................................................................
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Bidang seni yang dipilih              :.....................................................................
Alasan masuk Sanggar seni          :.....................................................................
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                                                                                     Banda Aceh, , …. …………. 2012




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