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FORMULIR PENDAFTARAN

Anggota Ekstra Kurikuler Jurnalistik Multimedia (Pena Siswa)

Nama Lengkap : ....................................................................................................................................


Panggilan : .............................................................................................................................................
TTL : ......................................................................................................................................................
No. HP : ..................................................................................................................................................
Akun FB :................................................................................................................................................
Alamat Lengkap : ..................................................................................................................................
Alasan mengikuti Ekskul Jurnalistik Multimedia (Pena Siswa) :

..........................................................................................................................................

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Kemampuan yang dimiliki :
(boleh pilih lebih dari satu)
MC/Presenter

Fotografi

Webdesign

Editing Foto/Video/M

Lain-lain (isi sendiri) : .......................................................


Gadget (peralatan) yang dimiliki :
(boleh pilih lebih dari satu)
Notebook/Netbook
Kamera SLR/Digicam
Bidang yang diminati di Jurnalistik Multimedia (Pena Siswa) :
(boleh pilih lebih dari satu)
Seni Karya

Webmaster/Blogger

Reporter

FB Group Moderator

Presenter

Youtube Channel Ma

Programer

News Editor

Batam,
Calon Anggota Eks

(______________

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...................................

...................................

...................................

..................................

........................................................

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Editing Foto/Video/Musik

..............................................

Webmaster/Blogger
FB Group Moderator
Youtube Channel Master
News Editor

Calon Anggota Ekskul

(_________________)

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