Beruflich Dokumente
Kultur Dokumente
Name :
1. Age ______ 2. Birth Date __23 november____________________ 3. Place of Birth __________________________________ 4. Citizenship ____________________________________ 5. Religion ______________________________________________ 6. Home Address ______________________________________________________________________________________
______________________________________________________________________________________________________________
7 8 9 10
Single
Married
Separated Widow
Spouses Occupation/Employer: Number of Children: 3 (three) 11. Their Ages: 1, 5, 7 years old
No 12 13
Occupation
Father ________
Mother ___________
15. Please list all secondary schools, colleges, and universities attended. Secondary Schools, Colleges and Graduate Schools Attended Mercu Buana University SMAN 5 Location Dates Attended from to Educational Degree Received (State In Full) Bachelor of Communication Science (S.Ikom) NONE
yogyakarta YOGYAKARTA
16. College Extracurricular/Business or Community Activities or Involvement Activities Number of Years of Membership/Involvement Position held, if any
17. Full-Time Position Held. List each position separately with most recent job first. A. Employer Nature of Business Employers Address Date Employed Responsibilities : : : : : Univ Mercu buana Education JL Jembatan October 2011 present Administrative Staff - Handling data base - Working with .
none
: : : : :
18. Training Programs/ Seminars/Conferences Attended A. Training/Seminar Conducted by Inclusive date : : : ENGLISH COURSE ELTI, YOGYAKARTA 2010
: : :
: : :