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KEMENTERIAN PENDIDIKAN NASIONAL

UNIVERSITAS SEBELAS MARET SURAKARTA


FAKULTAS PERTANIAN

KELOMPOK STUDI ILMIAH (KSI)


Sekretariat : Jl. Ir. Sutami No.36 A, Surakarta 57126
e-mail : ksifpuns@yahoo.com blog : http://fast.blog.uns.ac.id
BIODATA PESERTA
LOMBA MEWARNAI TINGKAT TK se-SOLO
FAST11 (Festival of Agri-Science and Technology 2011)
NAMA

: .............................................................................

Tempat, Tanggal Lahir

: .............................................................................

Alamat

: ............................................................................
............................................................................

Asal Sekolah

: ............................................................................
Guru Pembimbing

Photo
3x6
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Lembar 1 : untuk peserta
BIODATA PESERTA
LOMBA MEWARNAI TINGKAT TK se-SOLO
FAST11 (Festival of Agri-Science and Technology 2011)
NAMA

: .............................................................................

Tempat, Tanggal Lahir

: .............................................................................

Alamat

: ............................................................................
............................................................................

Asal Sekolah

: ............................................................................
Guru Pembimbing

Photo
3x6

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

Lembar 2 : untuk panitia

Bersama KSI, Tunjukkan Kalau Kita Punya Aksi!!

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