17 0 51 KB
BIODATA NARASUMBER WORKSHOP PENGEMBANGAN PEMBELAJARAN ABAD 21 DAN HOTS TAHUN 2019
I.
IDENTITAS NARASUMBER: 1. Nama Lengkap
: ...............................................................
2. NIP
: ...............................................................
3. Pangkat/ Golongan
: ...............................................................
4. Jenis kelamin
: Pria / Wanita *)
5. Tempat Tanggal Lahir
: ...............................................................
6. Jabatan
: ...............................................................
7. Pendidikan Terakhir
: ...............................................................
8. Alamat Rumah
: ............................................................... ............................................................... ………………………………………………
9. II.
Telepon
: ……………………/……………………..….
RIWAYAT PENDIDIKAN: 1 .............................................................................. 2: ............................................................................. 3 .............................................................................. 4 …………………………………………………………. 5 .............................................................................. 6 ............................................................................... 7……………………………………………………………
III.
RIWAYAT PEKERJAAN: 1 ................................................................................ 2................................................................................. 3…………………………………………………………… 4…………………………………………………………… 5…………………………………………….................... 6…………………………………………………………… 7……………………………………………………………
IV.
PENGALAMAN ORGANISASI 1………………………………………………………..… 2………………………………………………………….. 3…………………………………………….................. 4………………………………………………………….. 5………………………………………………………….. 6………………………………………………………….. Tanjung Raja,
Nopember 2019
___________________________ NIP. Ket: Tulis dengan huruf kapital, atau diketik *) Coret yang tidak perlu