Kepada Yth:

Panitia Seleksi Mentor dan Mente Berprestasi

Program Mentoring – LPPI UMP
Di_ Purwokerto

REKOMENDASI

Yang bertandatangan dibawah ini :

Nama : ..................................................................................................................
NIM/NIK/NIP : ..................................................................................................................
Jabatan : ..................................................................................................................
No. HP : ..................................................................................................................
Alamat : ..................................................................................................................
..................................................................................................................
Hubungan dengan yang direkomendasi : ...................................................................................
Menyatakan bahwa :
Nama : ..................................................................................................................
NIM/Prodi : ..................................................................................................................
No. HP : ..................................................................................................................
Alamat : ..................................................................................................................
..................................................................................................................
Menurut saya baik/sangat baik untuk direkomendasikan mengikuti seleksi mentor/mentee
berprestasi dalam Program Pendampingan Agama Islam (Mentoring) yang diselenggarakan
oleh Lembaga Pengkajian dan Pengamalan Islam (LPPI) Universitas Muhammadiyah
Purwokerto.
Alasan saya :
....................................................................................................................................................
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....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
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....................................................................................................................................................

Demikian rekomendasi saya, semoga bermanfaat.

Purwokerto, ................................ 2018
Hormat saya,

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