FORMULIR PENDAFTARAN PESERTA

Lomba The Craziest Business Plan Competition 2011

Nama Kelompok Usaha : ...........................................................................................................

Nama Ketua Tim : ................................................................................................. (L/P)

Tempat, Tanggal Lahir : ...........................................................................................................
Universitas/Kota : ...........................................................................................................
Fakultas/Jurusan : ...........................................................................................................
Nomor Induk Mahasiswa : ...........................................................................................................
Telepon/HP : ...........................................................................................................
Email : ...........................................................................................................

Anggota Tim
1. Nama : .................................................................................................. (L/P)
Universitas/Fakultas : ..........................................................................................................
Jurusan/NIM : ..........................................................................................................
2. Nama : .................................................................................................. (L/P)
Universitas/Fakultas : ...........................................................................................................
Jurusan/NIM : ...........................................................................................................
3. Nama : .................................................................................................. (L/P)
Universitas/Fakultas : ...........................................................................................................
Jurusan/NIM : ...........................................................................................................
4. Nama : ................................................................................................. (L/P)
Universitas/Fakultas : ...........................................................................................................
Jurusan/NIM : ..........................................................................................................

.............................,............................2011
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