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Formulir & Persyaratan Peserta Workshop

Formulir & Persyaratan Peserta Workshop

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Published by ficko_assapary

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categoriesTypes, Brochures
Published by: ficko_assapary on May 03, 2011
Copyright:Attribution Non-commercial

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01/14/2012

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FORMULIR PENDAFTARAN WORKSHOPHUMAN RIGHTS AND SOCIAL DOCUMENTARY PHOTOGRAPHY21 Mei14 Juni 2011Nama Lengkap: .Nama Panggilan:.Univ. / Inst. / Akdm.:…….Fakultas / Jurusan:.Nomor Pokok Mahasiswa:…………………………………………………………………….Alamat Tempat Tinggal: …………………………………………………………………….…………………………………………………………………….No. Telp / HP: .Alamat E-Mail: .Kamera yang dimiliki:Tipe:.Motivasi:….…………………………………………………………………….Dengan ini menyatakan kesediaannya untuk mengikuti setiap tahapan WorkshopHuman Rights and Social Documentary Photography.Jakarta, Mei 2011ttd(…………………………)

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