KUESIONER PEMINAT UPI

KELUARGA MAHASISWA GARUT
UNIVERSITAS PENDIDIKAN INDONESIA
Jalan Setiabudi 299 Bandung

BIODATA DIRI

  NAMA

ALAMAT
TTL:
KELAS :

NO KONTAK :
E-MAIL/FB :

PENGALAMAN ORGANISASI (SD/SMP/SMA/) DAN JABATAN
-
-
-
-

Jurusan yang diminati di UPI

Pilihan 1 : jurusan....................................................................fakultas............................

Pilihan 2 : jurusan...................................................................fakultas.............................

Alasan masuk UPI..............................................................................................................................

...............................................................................................................................................................

Apa yang anda ketahui tentang KMG?............................................................................................

...............................................................................................................................................................

...............................................................................................................................................................

...............................................................................................................................................................

Apa anda minat untuk gabung di KMG?.........................................................................................

Harapan apa jika anda gabung di KMG?.........................................................................................

Motto hidup.........................................................................................................................................

ORANG TUA

Ayah

Nama :............................................................

Pekerjaan :............................................................

Alamat :............................................................

.............................................................

No HP :............................................................

Ibu

Nama :............................................................

Pekerjaan :............................................................

Alamat :............................................................

.............................................................

No HP :............................................................

Garut, / /2010

Mengetahui

Peminat,                                Orang tua,

(.............................) (..................................)

CP : www.kmgupi.co.cc
group FB " KELUARGA MASISWA GARUT "
EPENDI Pend. Ekonomi 2009 ( 085723208652 )

Mohon di edit kembali posisinya
Tolong dicopy, dan disebarkan