Juknis Pilot Project
Juknis Pilot Project
Juknis Pilot Project
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Biodata Ketua <strong>Pilot</strong> <strong>Project</strong>Lampiran 2 : BiodataNama LengkapTempat/Tanggal Lahir:………………………………………………………………………………………………….....:……………………………………………………………………………………………………..Jenis KelaminAlamatBidang KeahlianRiwayat Pendidikan:………………………………………………………………………………………………………:………………………………………………………………………………………………………:……………………………………………………………………………………………………...: ……………………………………………………………………………………………………..……………………………………………………………………………………………………..……………………………………………………………………………………………………..……………………………………………………………………………………………………..Pengalaman terkait dengan Program Penyelarasan (mengikuti sosialisasi, pelatihan, pilot projectataupun kegiatan lainnya): ……………………………………………………………………………………………………..……………………………………………………………………………………………………..……………………………………………………………………………………………………..Publikasi IlmiahPenghargaanBiodata Anggota <strong>Pilot</strong> <strong>Project</strong>: ……………………………………………………………………………………………………..……………………………………………………………………………………………………..……………………………………………………………………………………………………..……………………………………………………………………………………………………..: ……………………………………………………………………………………………………..……………………………………………………………………………………………………..……………………………………………………………………………………………………..Anggota 1Nama LengkapTempat/Tanggal Lahir:……………………………………………………………………………………………………:……………………………………………………………………………………………………Jenis Kelamin :…………………………………………………………………………………………………….Alamat:…………………………………………………………………………………………………….Bidang Keahlian :…………………………………………………………………………………………………….Riwayat Pendidikan : ……………………………………………………………………………………………………..……………………………………………………………………………………………………..……………………………………………………………………………………………………..……………………………………………………………………………………………………..Pengalamanterkait dengan Program Penyelarasan (mengikuti sosialisasi, pelatihan, pilotproject ataupun kegiatan lainnya)…..: ……………………………………………………………………………………………………..……………………………………………………………………………………………………..……………………………………………………………………………………………………..Publikasi Ilmiah : ……………………………………………………………………………………………………..33
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