Kartu Induk Pegawai
Inilah contoh format kartu induk PNS
KARTU INDUK
PEGAWAI NEGERI SIPIL
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KARPEG. NO. : N 275855
I. KETERANGAN PERORANGAN :
1. Nama :
FATIMAH
2. Status Kepegawaian :
CPNS
3. Jenis Kepegawaian :
PNS DAERAH
4. Golongan ruang :
II/a
5. Mulai menjadi pegawai /CPNS
a. Tanggal dan tahun :
01 JANUARI 2007
b. Nomor dan tanggal SK pengangkatan
pertama :
08/Kep.KDH/D.2 30 AGUSTUS 2007
c. Jabatan dan nama
pejabat yang menanda
tangani SK :
BUPATI SLEMAN IBNU SUBIYANTO
6. Jabatan/Kedudukan :
GURU TK ABA KENDANGAN
7. Tempat/tanggal lahir :
SLEMAN, 23 MARET 1967
8. Jenis Kelamin :
WANITA
9. Agama :
ISLAM
10. Pendidikan :
SPG TK
a. Pendidikan Umum (dalam dan luar negeri)
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NO
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NAMA DAN JURUSAN
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TAHUN IJAZAH
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SWASTA/NEGERI
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KETERANGAN
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1
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SD MUH DOMBAN II
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1980
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SWASTA
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2
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SMP MUH SLEMAN
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1983
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SWASTA
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3
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SPG MUH SLEMAN
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1986
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SWASTA
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b. Kursus/Diklat Dalam negeri
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NO
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NAMA
KURSUS / LATIHAN
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TAHUN
IJAZAH
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LAMANYA
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KETERANGAN
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1
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PEL PEND &
TENAGA KEPEND PAUD
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2007
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24
JAM
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2
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KKG
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2008
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36
JAM
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3
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DIKLAT KTI
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2008
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3
HARI
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4
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PEL PENING
KOMPETENSI GURU TK ABA KAB. SLEMAN
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2009
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32
JAM
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5
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PEND PEL
PENULISAN KTI
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2010
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36
JAM
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6
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PEND PEL
KURIKULUM TK 2010
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2011
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32
JAM
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7
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PELATIHAN
KOMPUTER
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2011
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100
JAM
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8
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PEND PELATIHAN
(KKG)
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2012
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32
JAM
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c. Kursus / Diklat Luar Negeri
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NO
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NAMA
KURSUS /LATIHAN DI NEGARA
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TAHUN
KURSUS/ LATIHAN
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LAMANYA
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KETERANGAN
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II. KETERANGAN TEMPAT BEKERJA
1. Instansi tempat bekerja :
DINAS PENDIDIKAN KABUPATEN SLEMAN
a. Departemen/Lembaga/Daerah Otonom :
b. Unit Organisasi :
TK ABA KENDANGAN
2. Propinsi : DAERAH ISTIMEWA
YOGYAKARTA
3. Kabupaten /Kotamadya :
SLEMAN
III. INSTANSI INDUK :
PEMERINTAH KABUPATEN SLEMAN
IV. SUSUNAN KELUARGA :
1. Suami
/ Istri
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NO
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NAMA
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Tahun Menikah
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Keterangan
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1.
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NARDIANA
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2000
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2. Anak
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NO
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NAMA
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Tgl/Tahun Lahir
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Keterangan
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1.
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MUHAMMAD FAJAR NUGRAHA
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14 JUNI 2001
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ANAK KANDUNG
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V. MUTASI KEPEGAWAIAN
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NO
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Pejabat yang
mengeluarkan Surat Keputusan
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Surat Keputusan
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Mutasi
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Nomor
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Tgl.
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VI. LAIN-LAIN
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NO
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Hal - hal
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Keterangan
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PEMERINTAH KABUPATEN SLEMAN
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NIP :
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1
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9
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6
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7
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0
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3
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2
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3
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2
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0
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0
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7
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0
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1
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2
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0
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1
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1
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/ 4 9 0 0 3 7 1 0 6
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NAMA
: FATIMAH
DAFTAR ISI
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NO
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KEPUTUSAN
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ISI
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KET.
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||
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PEJABAT
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NOMOR
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TANGGAL
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|||
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1
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2
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3
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4
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5
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6
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1
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KEP CATATAN SIPIL
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7941/DIS/1988
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25-1-1988
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AKTA KELAHIRAN
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2
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KEPALA SEKOLAH
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XII Aa.58035
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24-5-1980
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IJAZAH SD
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3
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KEPALA SEKOLAH
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13 OB ob 0769833
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30-5-1983
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IJAZAH SMP
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4
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KEPALA SEKOLAH
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13 OC oj 0006136
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30-4-1986
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IJAZAH SPG TK
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5
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BUPATI SLEMAN
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08/KEP.KDH/D.2
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30-8-2007
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SK CPNS
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6
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KEPALA BKD
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828/01679/BKD
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31-8-2007
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SPMT CPNS
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7
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KEP DINAS PEND
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094/2040.a
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01-9-2007
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SURAT TUGAS
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8
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GUBERNUR
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1.873/DIKLAT PRAJAB II/2008
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21-5-2008
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STTPL
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9
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BUPATI SLEMAN
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17/Kep.KDH/D.2
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1-12-2008
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SK PNS
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10
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KEPALA BKD
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821/02704/BKD
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1-12-2008
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SPMT PNS
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11
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BUPATI SLEMAN
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828/0701/BKD
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31-12-2009
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SPMT
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12
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BUPATI SLEMAN
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24/Kep.KDH/D.I
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28-3-2011
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SK KENAIKAN PANGKAT II/B
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13
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KEPALA UPT
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822.2/081/UP/2011
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14-10-2011
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KGB
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14
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BUPATI SLEMAN
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876/2589/BKD
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17-10-2011
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SK IMPASING
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15
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KEP KUA
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25/37/07/2000
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26-6-2000
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AKTA NIKAH
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16
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KEP. CATATAN SIPIL
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05389/R/2011
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31-8-2001
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AKTA KELAHIRAN ANAK
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17
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KEP PT TASPEN
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-
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22-11-2008
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TASPEN
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18
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KEPALA BKN
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076019 LL
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23-03-2009
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KARSU
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19
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KEPALA BKN
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N275855
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30-03-2009
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KARPEK
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20
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PWA DIY
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22/PWA/D/V/2007
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11-5-2007
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SERTIFIKAT
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21
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KETUA KKG GUGUS II
|
16/E.Org/KKGII/ Slm/VII/2008
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05-7-2008
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SERTIFIKAT
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22
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KETUA PANITIA
|
110/PPS/XII/2008
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20-12-2008
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SERTIFIKAT
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23
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KETUA KKG TK ABA
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12/D.IGBA/KAB/SLM /III/2009
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19-3-2009
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SERTIFIKAT
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24
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KETUA IGTKI-PGRI
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44.E.Org/IGTKI.PGRI /Kec.Slm/XII/2010
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24-12-2010
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SERTIFIKAT
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25
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KETUA IGTKI-PGRI
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13/E.Org/IGTKI-PGRI /Kec.Slm /II/2011
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26-2-2011
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SERTIFIKAT
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26
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KEPALA BLK
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563 / 1966
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30-12-2011
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SERTIFIKAT
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27
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KETUA IGTKI-PGRI
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10/E.Org/IGTKI-PGRI /Kec.Slm /III/2011
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14-3-2012
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SERTIFIKAT
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1
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diposting oleh palcell.tempel @ 02.08
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