FORMULIR PENDAFTARAN

BEST OF THE BEST SIGNAL ANTENNA CONTEST

HARI JADI BOGOR KE-531 TAHUN - BOGOR NIRWANA RESIDENCE

RODA DUA MOTOR / RODA EMPAT MOBIL

NO.URUT DAFTAR / REGISTRASI

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NAMA PESERTA

: .................................................................................................................................................................

ALAMAT LENGKAP

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CONTEST YANG DIIKUTI

: 1. Roda Dua / Motor .............................. Unit

2. Roda Empat / Mobil ........................... Unit

PANITIA,
Sekretaris

Bendahara

Peserta

Eryawadi Affandi

Yayan S.

Selamat bertanding dengan sportivitas yang tinggi untuk mencapai juara sejati