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UNIVERSITAS PADJADJARAN LINGKUNG SENI SUNDA BALE RANCAGE XXXII Komplek UKM Barat Universitas Padjadjaran. Jl. Raya Jatinangor KM 21, Sumedang Telp. (022) 7782020 E-mail: [email protected] BIODATA PAMILON BALE RANCAGE XXXII LINGKUNG SENI SUNDA UNIVERSITAS PADJADJARAN Data Pribadi Wasta : __________________________________________________________ Nénéhan : __________________________________________________________ Kaping Dibabarkeun : __________________________________________________________ Fakultas/Jurusan : __________________________________________________________ NPM : __________________________________________________________ Padumukan di Bandung/ : __________________________________________________________ Jatinangor __________________________________________________________ No. Telepon : __________________________________________________________ Alamat Libur : __________________________________________________________ __________________________________________________________ No Telepon : __________________________________________________________ Kalanggenan : __________________________________________________________ Data Sepuh / Wali Jenengan : __________________________________________________________ Padamelan : __________________________________________________________ Kalungguhan : __________________________________________________________ Padumukan : __________________________________________________________ Kaparigelan dina Widang Seni Kantos Ngiringan Kagiatan Kasenian: 1. ………………………………………………………. di .................................................. taun............... 2. …………….………………………………………… di .................................................. taun............... 3. ………………………………………………………. di .................................................. taun............... 4. ……………………………………………….……… di .................................................. taun............... Pangajen dina Widang Seni anu Kantos Dicangking : 1. ………………………………………………………. di .................................................. taun............... 2. …………….………………………………………… di .................................................. taun............... 3. ………………………………………………………. di .................................................. taun............... 4. ……………………………………………….……… di .................................................. taun............... Pangalaman dina Widang Organisasi 1. ………………………………………………………. di .................................................. taun............... 2. …………….………………………………………… di .................................................. taun............... 3. ………………………………………………………. di .................................................. taun............... 4. ……………………………………………….……… di .................................................. taun............... Jatinangor, ….......…………….... 2015 ________________________ NPM . FOTO 3X4
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UNIVERSITAS PADJADJARAN
LINGKUNG SENI SUNDA
BALE RANCAGE XXXII Komplek UKM Barat Universitas Padjadjaran. Jl. Raya Jatinangor KM 21, Sumedang Telp.
(022) 7782020 E-mail: [email protected]
BIODATA PAMILON BALE RANCAGE XXXII
LINGKUNG SENI SUNDA UNIVERSITAS PADJADJARAN
Data Pribadi Wasta : __________________________________________________________ Nénéhan : __________________________________________________________ Kaping Dibabarkeun : __________________________________________________________ Fakultas/Jurusan : __________________________________________________________ NPM : __________________________________________________________ Padumukan di Bandung/ : __________________________________________________________
Jatinangor __________________________________________________________ No. Telepon : __________________________________________________________ Alamat Libur : __________________________________________________________
__________________________________________________________ No Telepon : __________________________________________________________ Kalanggenan : __________________________________________________________ Data Sepuh / Wali
Jenengan : __________________________________________________________ Padamelan : __________________________________________________________ Kalungguhan : __________________________________________________________ Padumukan : __________________________________________________________ Kaparigelan dina Widang Seni Kantos Ngiringan Kagiatan Kasenian:
1. ………………………………………………………. di .................................................. taun............... 2. …………….………………………………………… di .................................................. taun............... 3. ………………………………………………………. di .................................................. taun............... 4. ……………………………………………….……… di .................................................. taun............... Pangajen dina Widang Seni anu Kantos Dicangking : 1. ………………………………………………………. di .................................................. taun............... 2. …………….………………………………………… di .................................................. taun............... 3. ………………………………………………………. di .................................................. taun............... 4. ……………………………………………….……… di .................................................. taun............... Pangalaman dina Widang Organisasi 1. ………………………………………………………. di .................................................. taun............... 2. …………….………………………………………… di .................................................. taun............... 3. ………………………………………………………. di .................................................. taun............... 4. ……………………………………………….……… di .................................................. taun...............
Jatinangor, ….......…………….... 2015
________________________ NPM .
FOTO
3X4
