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FORMULIR PENDAFTARAN FASHION SHOW Nomor

“ HARI ULANG TAHUN DESA PERAYUN KE 11 “ F

1. Nama : ....................................................................................................................

2. NIK : ....................................................................................................................

3. Tempat Tanggal Lahir : ....................................................................................................................

4. Umur / Jenis Kelamin : ....................................................................................................................

5. Alamat : ....................................................................................................................

6. No Hp : ....................................................................................................................

Perayun, …….. …………………………….. 2023

(……………………………………………………………..)

*Nb : Lampirkan KK / KTP


Nomor
Tgl Pendaftaran : 21 Mei – 4 Juni 2023
Technical Meeting : 5 Juni 2023 (Calon Peserta Wajib Hadir)
Perlombaan : 9 – 11 Juni 2023
F

FORMULIR PENDAFTARAN FASHION SHOW Nomor

“ HARI ULANG TAHUN DESA PERAYUN KE 11 “ F

1. Nama : ....................................................................................................................

2. NIK : ....................................................................................................................

3. Tempat Tanggal Lahir : ....................................................................................................................

4. Umur / Jenis Kelamin : ....................................................................................................................

5. Alamat : ....................................................................................................................

6. No Hp : ....................................................................................................................

Perayun, …….. …………………………….. 2023

(……………………………………………………………..)

Nomor
Nb : Lampirkan KK / KTP
Tgl Pendaftaran : 21 Mei – 4 Juni 2023
Technical Meeting : 5 Juni 2023 F
Perlombaan : 9 – 11 Juni 2023

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