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Hereby, I want to register myself and my team to join in Selection Competition for ASC 2012 :
Participant 2
Name of Participant Name of School / University/Company Date of birth Contact Number E-mail Please bring this completed form at the day of selection competition
PT. Festo Jl. Sultan Iskandar Muda 68 (Arteri Pondok Indah) Jakarta 12240 Phone +62(0)21-275 07 900 (ext.972) Fax +62(0)21-275 07 998 E-mail didactic_id@id.festo.com