IDENTITAS PESERTA SEWING TRAINNING PROGRAM
NO. REG: ....................
A. DATA PRIBADI
| 1. | N a m a | : ..................................................................................... | |
| 2. | Nama Panggilan | : ............................................... No. KPJ : ..................... | |
| 3. | Tempat / Tgl.Lahir | : ............................... .................................................... | |
| 4. | Alamat Tinggal | : ..................................................................................... | |
| | | ..................................................................................... | |
| | | Telp. ......................... HP : ......................................... | |
| 5. | No. KTP | : ..................................................................................... | |
| 6. | Alamat KTP | : ..................................................................................... | |
| | | ..................................................................................... | |
| 7. | Agama | : ..................................................................................... | |
| 8. | Jenis Kelamin | : ..................................................................................... | |
| 9. | Status | : Nikah / Belum Nikah / Janda / Duda | |
| 10. | Jumlah Anak | : ...................... orang | |
| 11. | Sertifikat Ketrampilan (kursus, seminar, training, dll) | ||
| | | ....................................................................................... ....................................................................................... ....................................................................................... | |
| 12. | Nama Bapak Kandung | : ..................................................................................... | |
| 13. | Nama Ibu Kandung | : ..................................................................................... | |
| 14. | Golongan Darah | : ..................................................................................... | |
| 15. | Tinggi Badan | : ...................... cm | |
| 16. | Berat Badan | : ...................... kg | |
| 17. | Ukuran Baju / Kaos | : S / M / L / XL / XXL / XXXL | |
| 18. | Ukuran Celana | : 28 / 29 / 30 / 31 / 32 / 33 / 34 / 36 / 38 / 40 | |
B. RIWAYAT PENDIDIKAN
| Tingkat Pendidikan | Tahun Lulus | Keterangan |
| | | |
C. RIWAYAT PEKERJAAN / PENGALAMAN KERJA
| Nama Perusahaan | Lama Bekerja | Jabatan Terakhir | Alasan Berhenti | Gaji/Honor Terakhir |
| | | | | |
D. LAIN-LAIN
Siapa yang merekomendasikan anda untuk ikut program kursus jahit di perusahaan ini?
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