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DATA IJON PT EPSON CIKARANG SILAHKAN ISI FORMULIR DENGAN HURUF BALOK SEMUA Syarat :CEWE TB MIN 155 COWO TB MIN 165
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NAMA
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NAMA DEPAN
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NAMA TENGAH
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NAMA BELAKANG
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JENIS KELAMIN
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MALE
FEMALE
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TEMPAT LAHIR
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TANGGAL LAHIR
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MM
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DD
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YYYY
NO HP
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NAMA IBU KANDUNG
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KONTAK DARURAT: NAMA BP/IBU/KAKA/ADIK
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HUBUNGAN/BP/IBU KANDUNG/KAKA/ADIK
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NO HP
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ALAMAT KETIK NAMA DESA DAN RT RW
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KELURAHAN/NAMA DESA
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KECAMATAN
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KABUPATEN
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KODE POS
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ASAL SEKOLAH
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JURUSAN
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AGAMA
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MOSLEM
CRISTIAN
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NO KARTU KELUARGA
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NO KTP
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BANK BCA JIKA ADA
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NO REK BCA
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NO NPWP JIKA ADA
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EMAIL
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TINGGI BADAN
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BERAT BADAN
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TAHUN LULUS
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MASA BERLAKU SKCK
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MM
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DD
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YYYY
SKILL YG DIMILIKI
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