You are on page 1of 1

Panitia Seminar dan Lomba Desain Grafis

Tingkat Mahasiswa dan Pelajar


Badan Eksekutif Mahasiswa
Universitas Ibn Khaldun Bogor
Sekretariat : Jalan K.H. Soleh Iskandar Km.2 Tanah Sareal Bogor
Contact Person : 083819959299, 085814281474

FORMULIR PESERTA LOMBA DESAIN GRAFIS


Nama Lengkap

.............................................................................

Tempat Tgl Lahir

.............................................................................

Jenis Kelamin

Alamat Rumah

.............................................................................

Telepon / HP

.............................................................................

Email

.............................................................................

Facebook

.............................................................................

Asal sekolah / Universitas

.............................................................................

Jurusan

.............................................................................

Software yang di gunakan

.............................................................................

Deskrips Karya

.............................................................................

Laki-laki / Perempuan *

.............................................................................
.............................................................................
.............................................................................
Motivasi mengikuti lomba

.............................................................................
..
Bogor, 2012
Ttd
(..)

You might also like