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FR.APL-2 TBSM (ASESMEN MANDIRI) IDENTITAS ASESI
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Tanggal Pengisian Formulir
MM
/
DD
/
YYYY
Nama Asesi
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No KTP / NIK
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Tempat Lahir
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Tanggal Lahir
MM
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DD
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YYYY
Jenis Kelamin
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Laki-laki
Perempuan
Nama Sekolah
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Nama Asesor
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Mohammad Mansyuruddin, S.Pd
Dedy Satriadi, ST
Sumiyatdi, S.Pd
Skema Sertifikasi
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Klaster 1: Perawatan Berkala Sepeda Motor
Klaster 2: Perbaikan Mesin Sepeda Motor
Klaster 3: Perbaikan Sistem Kelistrikan Sepeda Motor
Klaster 4: Perbaikan Sistem Rangka Sepeda Motor
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