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ORGANISASI SISWA INTRA SEKOLAH

SMPI SMAI NURUL FIKRI BOARDING SCHOOL LEMBANG


Jl. Cisarongge RT 04/04 Ds. Cibodas Maribaya Kec. Lembang Kab. Bandung Barat 40391
Website : campdaimuda.com Email : info@campdaimuda.com

FORMULIR PENDAFTARAN PESERTA KEGIATAN


CAMP DAI MUDA 6
*ISI DENGAN HURUF KAPITAL/CETAK.

Sekolah : SMP SMA Internasional


Email Sekolah :

Telepon :

Pembimbing : 1.
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Data Peserta :
1. Nama :

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Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure


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2. Nama :

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NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid


Khitobah

Registration Form Camp Dai Muda 6 Camp Dai Muda 6


ORGANISASI SISWA INTRA SEKOLAH
SMPI SMAI NURUL FIKRI BOARDING SCHOOL LEMBANG
Jl. Cisarongge RT 04/04 Ds. Cibodas Maribaya Kec. Lembang Kab. Bandung Barat 40391
Website : campdaimuda.com Email : info@campdaimuda.com

Board Art Photography Nature Adventure


None

3. Nama :

TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure


None

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NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure


None

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TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Registration Form Camp Dai Muda 6 Camp Dai Muda 6


ORGANISASI SISWA INTRA SEKOLAH
SMPI SMAI NURUL FIKRI BOARDING SCHOOL LEMBANG
Jl. Cisarongge RT 04/04 Ds. Cibodas Maribaya Kec. Lembang Kab. Bandung Barat 40391
Website : campdaimuda.com Email : info@campdaimuda.com

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure


None

6. Nama :

TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure


None

7. Nama :

TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

8. Nama :

TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Registration Form Camp Dai Muda 6 Camp Dai Muda 6


ORGANISASI SISWA INTRA SEKOLAH
SMPI SMAI NURUL FIKRI BOARDING SCHOOL LEMBANG
Jl. Cisarongge RT 04/04 Ds. Cibodas Maribaya Kec. Lembang Kab. Bandung Barat 40391
Website : campdaimuda.com Email : info@campdaimuda.com

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

9. Nama :

TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

10. Nama :

TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

11. Nama :

TTL :

Kelas :

Registration Form Camp Dai Muda 6 Camp Dai Muda 6


ORGANISASI SISWA INTRA SEKOLAH
SMPI SMAI NURUL FIKRI BOARDING SCHOOL LEMBANG
Jl. Cisarongge RT 04/04 Ds. Cibodas Maribaya Kec. Lembang Kab. Bandung Barat 40391
Website : campdaimuda.com Email : info@campdaimuda.com

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

12. Nama :

TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

13. Nama :

TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

14. Nama :

TTL :

Registration Form Camp Dai Muda 6 Camp Dai Muda 6


ORGANISASI SISWA INTRA SEKOLAH
SMPI SMAI NURUL FIKRI BOARDING SCHOOL LEMBANG
Jl. Cisarongge RT 04/04 Ds. Cibodas Maribaya Kec. Lembang Kab. Bandung Barat 40391
Website : campdaimuda.com Email : info@campdaimuda.com

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

15. Nama :

TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Natural Adventure None

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TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

17. Nama :

TTL :

Kelas :

Registration Form Camp Dai Muda 6 Camp Dai Muda 6


ORGANISASI SISWA INTRA SEKOLAH
SMPI SMAI NURUL FIKRI BOARDING SCHOOL LEMBANG
Jl. Cisarongge RT 04/04 Ds. Cibodas Maribaya Kec. Lembang Kab. Bandung Barat 40391
Website : campdaimuda.com Email : info@campdaimuda.com

NIS :

Archery Battle MHQ Orasi Ranking1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

18. Nama :

TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

19. Nama :

TTL :

Kelas :

NIS :

Archery Battle MHQ Orasi RANKING 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

20. Nama :

TTL :

Kelas :

Registration Form Camp Dai Muda 6 Camp Dai Muda 6


ORGANISASI SISWA INTRA SEKOLAH
SMPI SMAI NURUL FIKRI BOARDING SCHOOL LEMBANG
Jl. Cisarongge RT 04/04 Ds. Cibodas Maribaya Kec. Lembang Kab. Bandung Barat 40391
Website : campdaimuda.com Email : info@campdaimuda.com

NIS :

Archery Battle MHQ Orasi Ranking 1

Short Movie Speech Nasyid Khitobah

Board Art Photography Nature Adventure None

SURAT PERNYATAAN MENGIKUTI TATA TERTIB CDM 6


Nama :

Nama institusi/sekolah :

Jabatan :

Telepon :

Saya sebagai institusi yang bersangkutan. Menyatakan bahwasanya kami akan mengikuti
semua aturan dan regulasi yang telah ditetapkan oleh panitia CDM 6 selama kegiatan berlangsung.
Demikianlah surat pernyataan ini kami buat. Agar dapat dipahami dan dipergunakan dengan sebaik
baiknya.

______,__/__/ ___

Registration Form Camp Dai Muda 6 Camp Dai Muda 6

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