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LPR_PKM - Kemdikbud

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14. Contoh daftar calon peserta didikDAFTAR CALON PESERTA DIDIKPROGRAM PENDIDIKAN KEWIRAUSAHAAN MASYARAKAT (<strong>PKM</strong>)Nama Lembaga : LKP MERAH PUTIHAlamat Lembaga : Jl. Rambutan Raya No. 17 JatinegaraJenis Keterampilan :Kab/Kota :Provinsi :N0 NAMA L/P1.2.3.4.5.6.7.8.9.Dst.PENDIDIKANTERAKHIRALAMATTEMPATTANGGAL LAHIRNAMAORANG TUA….………….., ……………………. 2013Ketua Penyelenggara,Tanda tangan danStempel lembaga(………………………………………)*) Lampirkan fotokopi KTP calon peserta didik20

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