Form SURAT PENGAJUAN BEASISWA LAZISMU
Form SURAT PENGAJUAN BEASISWA LAZISMU
Form SURAT PENGAJUAN BEASISWA LAZISMU
Kepada :
Yth.Pimpinan Lazismu Jawa Barat
Di
Tempat
Demikian surat permohonan ini dibuat. Atas perhatian Bapak/Ibu saya ucapkan terima kasih.
Wassalamu’alaikum Wr.Wb
Bandung, .......,...................,............
Pemohon
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BIODATA CALON PENERIMA BEASISWA
DATA MAHASISWA
Nama : ................................................................................................
NIM : ................................................................................................
Semester : ................................................................................................
Tempat,Tanggal Lahir : ................................................................................................
Jenis Kelamin : ................................................................................................
Agama : ................................................................................................
Alamat : ................................................................................................
................................................................................................
PRESTASI AKADEMIK
1. IPK : ................................................................................................
2. Organisasi : a. ...........................................................................................
b. ...........................................................................................
c. ...........................................................................................
3. Prestasi : a. ...........................................................................................
b. ...........................................................................................
c. ...........................................................................................
DATA ORANGTUA/WALI
Nama Orangtua/Wali : ................................................................................................
Perkerjaan : ................................................................................................
Penghasilan : ................................................................................................
Alamat : ................................................................................................
................................................................................................
Bandung,.........,....................2019
Orangtua/ Wali Calon Penerima Beasiswa
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