full name/nick name :

departement/ps/class :

address :

date of birth, place :

gender :

motivation :

responsibility in division *: design and frame steering system

control and electrical system braking system

transmission system administration

statement : with this, i declare that i’m willing to follow the next recruitment

prosses as the registrant and i follow it without any

intimidation from others and consciously.

Sincerely,

( )

NIM :

your lastest photo

3 x 4

*choose one