Organization Registration Form

REGISTRATION FORM
HIMASKA FMIPA UR
Curiculum Vitae
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Full Name*
Gender*
NIM*
Insert Your NIM
GPU*
Insert IPK
Major*
Place of Birth*
Date of Birth*
DayMonthYear
Religious*
IslamKristenKatolikHinduBudhaOther
Education*
ES, JHS, SHS, until College/University
Current Address*
Street Address
Street Address Line 2
CityState
Zip CodeCountry
Email Address*
Phone Number*
Hobby*
Life Motto*
Reason to Register*
*Max. 150 Words0/150

Skilss and Achievement
Computer Literacy

Language Skills*

	Listening	Reading	Writing	Speaking
Indonesia
English
Deutstch
France
日本
中国
Arab
Korea

Organization Experience
Training
Achievement
Sertifikat LAMDA*
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Option Interst of HIMASKA
Option Interest*
executiveDivisi KaderisasiDivisi Hubungan MasyarakatDivisi Pengembangan Potensi AkademikDivisi Dana dan UsahaDivisi Minat Kesenian dan OlahragaDivisi Advokasi dan Komunikasi
Advokasi dan Komunikasi
Input If you Choose ADVOKOM
executive
If you choose Executive
Should be Empty: