staff registration form

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STAFF REGISTRATION FORM SOCIETY OF ECONOMIC GEOLOGISTS SC UNPAD2015 1 ST Choice : Human Resource Development 2 nd Choice : Public Relation Unwanted division : Organization Development (Fill Required) DATA DIRI Full Name : Gilang Putra Bahana NPM : 270110130031 Place and Date of Birth : Medan, Oct 16 1995 Gender : Male Religion : Islam Phone number : 081973195710 E-mail : [email protected] Adress : Pondok Al Amien 1, Ciseke Besar Motto : Small step can make a big change ORGANIZATION EXPERIENCE ORGANIZATION POSITION PERIOD BEM KM FTG Kabinet Stratifikasi Member of Humas 2013-2014 SEG SC Unpad Member of Fieldtrip 2013-2014 COMMITTEE EXPERIENCE EVENT POSITION YEAR Campus Expo Man 1 Medan Head of Comitte 2014 Piala Dekanat Head of Comitte 2014 Pas Photo

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STAFF REGISTRATION FORMSOCIETY OF ECONOMIC GEOLOGISTSSC UNPAD20151ST Choice : Human Resource Development2nd Choice : Public RelationUnwanted division : Organization Development(Fill Required)Pas PhotoDATA DIRI

Full Name : Gilang Putra Bahana

NPM : 270110130031

Place and Date of Birth : Medan, Oct 16 1995

Gender : Male

Religion : Islam

Phone number : 081973195710

E-mail : [email protected]

Adress : Pondok Al Amien 1, Ciseke Besar

Motto : Small step can make a big change

ORGANIZATION EXPERIENCE

ORGANIZATIONPOSITIONPERIOD

BEM KM FTG Kabinet StratifikasiMember of Humas2013-2014

SEG SC UnpadMember of Fieldtrip2013-2014

COMMITTEE EXPERIENCE

EVENTPOSITIONYEAR

Campus Expo Man 1 MedanHead of Comitte2014

Piala Dekanat Head of Comitte2014

DIVISION OPTION

1. Division :Human Resource Development

Motivation :Increase members ability and make a lot fun event like outbound to keep our brotherhood in SCSEG

2. Division :Public Relation

Motivation:Expand SCSEG to national level so well be respected by other SCSEG Organizations, keep in touch and make a good relation with other SCSEG organizations, SC MGEI, and other Student chapter like AAPG, SPE, etc.

If you have to be transferred to another division, you will not be transferred into the following divisions:

3. Unwanted Division :Organization Development

Reason :I dont really know what am i will do if i join into this division.

SEG Division : Head DivisionCourse and Workshop : Renanda SevirajatiFieldtrip : Md Fathan MauludinResearch : AlisahHuman Resource Development (HRD) : Shine PurbaOrganization Development (OD) : Simon Ananda SianiparPublic Relation (PR) : Yolla BudianaMedia : Titip AnillahiFund Raising : M Randy Nugraha

*The opening of the registration division staff of the Society of Economic Geologists SC UNPAD is starting from January 17, 2015 and closed on 24 January 2015. Forms can be mailed to [email protected] . If up to the last date have not submitted the registration form , the placement of the division will be made at the discretion of the President , Vice President and Head Department SEG SC UNPAD.

Regards,Thank You.