Formulir Pendaftaran
Muslimah
In Action 2012
Nama Sekolah / Utusan/
universitas :
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Alamat :
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Nama Pembina* :
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No Telp / HP :
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- Religi Solois Nasyid
Nama :
..................................................................
Umur : .................................................................
Lagu yang dibawa : ..................................................................
- Fahion Show Muslimah dengan tema ‘’yang Batik ya Indonesia’’
Nama :
..................................................................
Umur : .................................................................
NB. Segera daftarkan nama
anda , karena
apabila jumlah peserta
melebihi qouta,
pendaftaran langsung kita tutup
*)
bila Umum Tidak perlu diisi
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