Formulir Pendaftaran Hut Aw

PANITIA PELAKSANA
RAKERDA I & HUT Ke-92

AL JAM’IYATUL WASHLIYAH
KABUPATEN LABUHANBATU UTARA
Sekretariat :Jln. Jendral Sudirman Aek Kanopan |No. 153 |Kode Pos. 21457
FORMULIR PENDAFTARAN
LOMBA : .......................................................
Nama Peserta : ..............................................................................
Tempat/Tanggal Lahir : ..............................................................................
Alamat : ..............................................................................
PANITIA PELAKSANA
No. HP : ..............................................................................
Nama Sekolah : ..............................................................................
Alamat Sekolah : ..............................................................................
Telepon Sekolah : ..............................................................................

PANITIA PELAKSANA
Mengetahui : Peserta
Kepala Sekolah
(cap)
________________________ ________________________
*Formulir ini dapat diperbanyak

PANITIA PELAKSANA
PANITIA PELAKSANA
LOMBA HAFALAN TAKHTIM
PANITIA PELAKSANA
Nama Group : ..............................................................................
Perwakilan : ..............................................................................
Nama Ketua Kelompok : ..............................................................................
Tempat Tanggal Lahir : ..............................................................................
Alamat : ..............................................................................
No HP : ..............................................................................
PANITIA PELAKSANA
NAMA-NAMA KELOMPOK
NO NAMA PESERTA TEMPAT TANGGAL LAHIR ALAMAT NO HP

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PANITIA PELAKSANA
Ketua Kelompok
______________________________

PANITIA PELAKSANA
PANITIA PELAKSANA
LOMBA FESTIAL SENI NASYID
Nama Group : ..............................................................................
Perwakilan : ..............................................................................
Judul Lagu Wajib : ..............................................................................

PANITIA PELAKSANA
Judul Lagu Pilihan : ..............................................................................
Alamat : ..............................................................................
No HP : ..............................................................................
NAMA-NAMA KELOMPOK
PANITIA PELAKSANA

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9
10
PANITIA PELAKSANA
11
Ketua Kelompok
______________________________
PANITIA PELAKSANA
LOMBA HIMNE AL WASHLIYAH
Nama Group : ..............................................................................

PANITIA PELAKSANA
Perwakilan : ..............................................................................
Alamat : ..............................................................................
No HP : ..............................................................................
NAMA-NAMA KELOMPOK
PANITIA PELAKSANA

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5
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10
PANITIA PELAKSANA
11
Mengetahui : Peserta
Kepala Sekolah
(cap)
________________________ ________________________
PANITIA PELAKSANA

Formulir Pendaftaran Hut Aw

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Formulir Pendaftaran Hut Aw

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PANITIA PELAKSANA

RAKERDA I & HUT Ke-92

Nama Peserta : ..............................................................................

Tempat/Tanggal Lahir : ..............................................................................

Nama Sekolah : ..............................................................................

Alamat Sekolah : ..............................................................................

Telepon Sekolah : ..............................................................................

*Formulir ini dapat diperbanyak

Nama Group : ..............................................................................

Nama Ketua Kelompok : ..............................................................................

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

NO NAMA PESERTA TEMPAT TANGGAL LAHIR ALAMAT NO HP

*Formulir ini dapat diperbanyak

Nama Group : ..............................................................................

Judul Lagu Wajib : ..............................................................................

Judul Lagu Pilihan : ..............................................................................

Nama Ketua Kelompok : ..............................................................................

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

NO NAMA PESERTA TEMPAT TANGGAL LAHIR ALAMAT NO HP

*Formulir ini dapat diperbanyak

Nama Group : ..............................................................................

Nama Ketua Kelompok : ..............................................................................

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

NO NAMA PESERTA TEMPAT TANGGAL LAHIR ALAMAT NO HP

*Formulir ini dapat diperbanyak

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