Formulir Pendaftaran Kegiatan Ekstrakurikuler Bulu

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FORMULIR PENDAFTARAN KEGIATAN EKSTRAKURIKULER BULU

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FORMULIR PENDAFTARAN KEGIATAN EKSTRAKURIKULER BULUTANGKIS

SMA NEGERI 1 LARANGAN

A. Nama Lengkap : …………………………………………………………………………….

B. Tempat Tanggal Lahir : …………………………………………………………………………….

C. Kelas : …………………………………………………………………………….

D. No. Induk Siswa (NIS) : …………………………………………………………………………….

E. Alamat : …………………………………………………………………………….

F. No. HP : …………………………………………………………………………….

G. Prestasi : …………………………………………………………………………….

Alasan mengikuti Elstrakurikuler Bulutangkis :

….……………………………………………………………………………………………………………………………………………

Larangan, Juli 2022

Calon Anggota Ekskul

(.…………………………………………….)

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