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Lampiran 11<br />

SUCCESS STORY<br />

ALUMNI PROGRAM PKM YANG TELAH MERINTIS<br />

USAHA MANDIRI<br />

FOTO<br />

IDENTITAS DIRI:<br />

Nama<br />

: ________________________________<br />

T. Tgl. Lahir : ________________________________<br />

Pendidikan Terakhir:________________________________<br />

Orang Tua<br />

: Ayah ______________ Ibu __________<br />

Alamat:__________________________________________<br />

Kota _________Telp _______ HP __________<br />

Program PK :<br />

Program Keterampilan/wirausaha_________<br />

Pelaksanaan Program____ 2011 s.d ____2012<br />

DATA WIRAUSAHA:<br />

Tempat Usaha : _________________________________<br />

Jenis/Bidang Usaha : _________________________________<br />

Kelompok<br />

Mandiri<br />

Mulai Usaha : _________________________<br />

Rata-rata Omset : Rp____________- _____________________<br />

Alamat Tempat Usaha<br />

:____________________________________<br />

________________________________________________________<br />

Kota ______________Tilp ______________ HP ______________<br />

Contact Person:__________________________<br />

Organisasi Pemodal : Mandiri Bank<br />

Lainnya<br />

60<br />

Juknis Program Pendidikan Kewirausahaan Masyarakat

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