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C.I.

T Inter-Department Futsal Tournament 2011

Team Name Team Captain Jersey Colour

: _________________________________ : _________________________________ : _________________________________

Name

Group Code

Jersey No

Regulations
1. Admission Fee The admission fee for the entry is $10 per team. 2. Jersey Each team has to provide jersey for the tournament. Bib is provided. 3. Submission date All submission must be given to the tournament organizer (Syukri-CST33 or SyahbanaILM07) by Saturday, 28th May 2011.

Signature, __________________

Syk2011

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