Requirements:

 Participants are students of senior high school or university and public.

 Participants have a letter of assignment from an authorized officer/ school/ university.

2
 STATEMENT OF ORIGINALITY

The Undersigned,

Group Leader Name ROMI FIRDAUS

Place & Date of Birth Cianjur, 04 Agustus 2004

Residential Address Jl Muhammad no 34 , pamoyanan , Kota Bandung , Jawa Barat

Email Address romicanva484@gmail.com

Phone Number 62+81513242928

Title of Work PHOTOGRAFY

I herewith declare that the folklore writing / script that I have included in WINACTION
2023 (Widyatama International Competition) is truly my own work, not a plagiarism of other
people's work and has never been included in any form of competition and has never been
published anywhere.

If in the future it turns out that my work is not in accordance with this statement, my
work will automatically be considered cancelled. Thus this statement is made with truth.

……………, ….. …………… 2023

Declare,

10.000 IDR Stamp

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