Formulir Pendaftaran OSIS

Contoh Formulir Pendaftaran OSIS

FORMULIR MENJADI PENGURUS OSIS 2013/2014

Nama Lengkap                                     :........................ ..........................................................................

NIS                                                      :..................................................................................................

Kelas                                                    :..................................................................................................

Tempat / Tanggal Lahir                        :..................................................................................................

Agama                                                  :..................................................................................................

Tempat Tinggal Sekarang                    :..................................................................................................

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

Nama Orang Tua                                  :..................................................................................................

Alamat Orang Tua                               :..................................................................................................

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

Riwayat kesehatan

Pernah sakit lama                                  : Ya / tidak  *)

Sakit apa                                              :..................................................................................................

Penyakit yang diderita                         :..................................................................................................

Organisasi yang pernah diikuti            :..................................................................................................

Prestasi yang pernah diraih                  :..................................................................................................                   

Alasan Mengikuti OSIS :

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Harapan yang ingin dicapai dalam mengikuti OSIS untuk SMK Muhammadiyah Long Ikis :

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Long Ikis,……………………............ ……………………………………… NIS :…………………………………