Formulir Pendaftaran Osis
Formulir Pendaftaran Osis
Formulir Pendaftaran Osis
FORMULIR PENDAFTARAN
PENGURUS OSIS 2020 – 2021
Nama : ................................................................................
Jenis Kelamin : ................................................................................
Tempat, Tanggal Lahir : ................................................................................
Kelas : ................................................................................
No Induk Sekolah : ................................................................................
No Induk Siswa Nasional (NISN) : ................................................................................
Nama Orangtua : Bapak : .....................................................
Ibu : .....................................................
No Telp / HP : ................................................................................
Cita - Cita : ................................................................................
Moto Hidup : ................................................................................
Alamat Rumah : ................................................................................
Alamat 1. Email : ...........................................
2. Facebook : ...........................................
3. Twitter : ...........................................
Pengalaman Berorganisasi :
1. ......................................Jabatan .............................
2. ......................................Jabatan .............................
3. ......................................Jabatan .............................
Prestasi :
1. Akademik :..............................................
2. Non Akademik : .............................................
(..................................................................)
SURAT IZIN ORANG TUA
Nama : ...............................................................................................
Alamat : Kp .........................................................................................
: Desa ......................................................................................
Nama : ...............................................................................................
Kelas : ...............................................................................................
untuk mencalonkan diri menjadi pengurus OSIS SMP Negeri 4 Gununghalu Masa Bakti 2020 - 2021.
Demikian surat izin ini kami buat semoga dapat menjadi maklum, atas perhatianya kami ucapkan
terimakasih.
(..................................................................)
*Ditulis nama jelas