Nama :.......................................................................................................................
TTL :.......................................................................................................................
Alamat :.......................................................................................................................
No. HP :.......................................................................................................................
E-Mail :.......................................................................................................................
Hoby :.......................................................................................................................
Motto Hidup :.......................................................................................................................
Riwayat
Penyakit* :.......................................................................................................................
Riwayat Pendidikan :
1.
SD : .....................................................................................................................
2.
SMP / MTS
:.....................................................................................................................
3.
MA / MA : ....................................................................................................................
4.
Perguruan Tinggi : ..................................................................................................................
Pengalaman Organisasi
1.
................................................................................................................................................
2.
..................................................................................................................................................
3.
..................................................................................................................................................
4.
..................................................................................................................................................
5.
..................................................................................................................................................
6.
..................................................................................................................................................
7.
..................................................................................................................................................
Purwokerto,
. Agustus 2018
*WAJIB
DIISI
PRE TEST
1. Apa
yang kalian ketahui tentang PBAK?
Jawab
:
2. Apa
yang kalian harapkan dengan adanya PBAK?
Jawab
:
POST TEST
1. Apa
yang kalian ketahui tentang PBAK?
Jawab
:
2. Apa
yang kalian harapkan dengan adanya PBAK?
Jawab
:
3. Apa
manfaat PBAK yag kamu peroleh?
Jawab
:
4. Masukan
untuk PBAK tahun berikutnya?
Jawab
:
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