PANITIA DIES NATALIS KE-8

RUMAH SAKIT UNIVERSITAS HASANUDDIN

“Let Nutrition be your Medicine”
FORMULIR PENDAFTARAN PESERTA

KOMPETISI FUTSAL

UNIT/INSTALASI :

Nama Tim :...............................................................................................

Nama Peserta :......................................................................................(KAPTEN)

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Daftar Official :

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Note :
A. Persyaratan Peserta :
1. Melampirkan Surat Keterangan Pegawai dari RS/Instansi tempat Bekerja.
2. Melampirkan Kartu Identitas Pegawai/Instansi/Mahasiswa.
3. Melampirkan Foto Pemain 3x4 1 Lembar.

B. Jadwal Technical Meeting : Pkl. 14.30 WITA. 02 Februari 2018 Di Auditorium RS.Unhas
Pertandingan : Sabtu/Minggu,03-04 Feb 2018/Jum’at 09 Feb 2018
Di Lapangan Futsal BTP. Makassar
 PANITIA DIES NATALIS KE-8
RUMAH SAKIT UNIVERSITAS HASANUDDIN
“Let Nutrition be your Medicine”
FORMULIR PENDAFTARAN PESERTA

KOMPETISI BULUTANGKIS

UNIT/INSTALASI :

KATEGORI : GANDA PUTRA/ GANDA PUTRI/ GANDA CAMPURAN.

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TIM 4 : ............................................................................................

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TIM 5 : ............................................................................................

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Note :
A. Persyaratan Peserta :
1. Melampirkan Surat Keterangan Pegawai dari RS/Instansi tempat Bekerja.
2. Melampirkan Kartu Identitas Pegawai/Instansi/Mahasiswa.

B. Jadwal Technical Meeting : Pkl. 15.30 WITA. 02 Februari 2018 Di Auditorium RS.Unhas
Pertandingan : Minggu,04 Feb 2018 dan Sabtu, 10 Feb 2018.
Di Lapangan Bulutangkis Dafest Daya. Makassar.
 PANITIA DIES NATALIS KE-8
RUMAH SAKIT UNIVERSITAS HASANUDDIN
“Let Nutrition be your Medicine”

FORMULIR PENDAFTARAN PESERTA

TARIK TAMBANG (6 ORANG)

UNIT/INSTALASI :

DAFTAR PESERTA PUTRA :

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DAFTAR PESERTA PUTRI :

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Daftar Official :

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 PANITIA DIES NATALIS KE-8
RUMAH SAKIT UNIVERSITAS HASANUDDIN
“Let Nutrition be your Medicine”
FORMULIR PENDAFTARAN PESERTA

Ranking I (Personal)
UNIT/INSTALASI :

Nama Peserta :...............................................................................................

Nama Peserta :................................................................................................

Nama Peserta :................................................................................................

Nama Peserta :................................................................................................

Nama Peserta :................................................................................................

 PANITIA DIES NATALIS KE-8
RUMAH SAKIT UNIVERSITAS HASANUDDIN
“Let Nutrition be your Medicine”

FORMULIR PENDAFTARAN PESERTA

“MENNYANYI SOLO”

UNIT/INSTALASI :

Nama Peserta :...............................................................................................

Nama Peserta :................................................................................................

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