JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FORMULIR PENDAFTARAN CALON PENGURUS DAN KETUA KAMALA
Sign in to Google
to save your progress.
Learn more
* Indicates required question
PENDAFTARAN CALON PENGURUS DAN KETUA KAMALA 2020/2021
Nama Lengkap
*
Your answer
Alamat
*
Your answer
Tahun Lulus
*
Your answer
Program Studi
*
S1 Keperawatan
Profesi Ners
D3 Kebidanan
S1 Gizi
S1 ARS
S1 PAI
S1 PGMI
S1 Ekonomi Syariah
S1 Perbankan Syariah
No Hp/WA
*
Your answer
email
*
Your answer
Posisi kepengurusan KAMALA yang dituju
*
Ketua
Sekretaris
Bendahara
Koordinator Simpul Wilayah
Divisi Lainnya
Other:
Pengalaman Organisasi
*
Your answer
Pekerjaan Saat Ini (Jika sedang study lanjut tulis sedang study lanjut)
*
Your answer
Nama Tempat Bekerja / Nama Universitas tempat Study Lanjut
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Universitas Alma Ata.
Report Abuse
Forms
