Formulir Pendaftaran 'Mading Competition'

FORMULIR PENDAFTARAN

“Mading Competition”

                                                                                                ( 1 Kelompok)

Nama Lengkap                       : 1.

                                                  2.

                                                  3.

Jenis Lomba                           :

Tempat Tanggal Lahir           : 1.

                                                  2.

                                                  3.

Sekolah                                   :

No. Telp/HP                          : 1.

                                                  2.

                                                  3.

Formulir dikembalikan kepada panitia dengan menyertakan fotokopi kartu pelajar paling lambat 19 April 2014.

Tambun, ______________ 2014

                                                                                                                              PESERTA/KETUA KELOMPOK

                                                         

                                                                                        (____________________)

*Dapat di perbanyak