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BIODATA PESERTA

1. NAMA LENGKAP : ......................................................

2. TEMPAT/TANGGAL LAHIR : ......................................................

3. JENIS KELAMIN : ......................................................

4. KELAS : ......................................................

5. ASAL SEKOLAH : ......................................................

6. ALAMAT SEKOLAH : ......................................................

7. BIDANG LOMBA : .......................................................

PEMBINA PESERTA LOMBA

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