FORM OF AGE MEMBER

REGISTRATION NUMBER
CHOIR'S NAME

CHOIR POSITION

NO NAME GENDER
(Please fill with note as singer/
musician/ conductor/official)

1 Arby Hardian Larope Conductor Male

2 Julio Brian Mugama Singer Male

3 Steisy Olivia Bataha Singer Female

4 Gabriella Anastasya Yohanis Singer Female

5 Brandy Sagita Tambanaung Singer Male

6 Tansyah Jovi Henrius Goeslaw Singer Male

7 Djunaidi Musa Peloan Singer Male

8 Inriane Rine Peloan Singer Female

9 Novyanto Samperuru Singer Male

10 Angraini Tifani Waloni Singer Female

11 Julhein Marthin Singer Male

12 Reyta Vabyolla Takainginang Singer Female

13

14

15

16

17

18

19

20

21

22

23

24

25
 LUX CARITATE

DATE OF BIRTH AGE

Bitung, 4 Mei 1993 28

Kakenturan, 12 Juli 1993 28

Bitung, 1 Oktober 2001 20

Bitung, 17 Desember 1999 21

Bitung, 8 Januari 1996 25

Jakarta, 15 Juni 1998 23

Bitung, 20 Oktober 2001 20

Lapango, 19 November 1993 28

Toraja, 14 November 1983 38

Bitung, 6 Mei 1994 27

Bitung, 16 Juli 1993 28

Bitung, 16 September 1996 25

City, Date

(Signature)

(Person In Charge)
Phone number