Alamat : JL. H. Rais A. Rahman No. 65 Sungai Jawi, Pontianak; Telp.

: 089614784725 (Aceng); Kode Pos : 78113

FORMULIR PENDAFTARAN

LOMBA BARIS-BERBARIS FORMASI (LBBF)

TINGKAT SMA/SMK/MA/SEDERAJAT & SMP/MTs/SEDERAJAT
SE-KALIMANTAN BARAT

Asal sekolah :........................................................................................

Alamat Sekolah :........................................................................................

Pendamping :........................................................................................
Contact Person :........................................................................................
Peserta
1. Komandan pasukan :........................................................................................
2. Pasukan
1. ......................................................................................
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12. .....................................................................................

Pontianak ,...................................2018
Kepala..............................................

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 Alamat : JL. H. Rais A. Rahman No. 65 Sungai Jawi, Pontianak; Telp. : 089614784725 (Aceng); Kode Pos : 78113

FORMULIR PENDAFTARAN

LOMBA PADUAN SUARA

TINGKAT SMP/MTs & SMA/SMK/MA SEDERAJAT SE-KALIMANTAN BARAT

Asal sekolah :..............................................................................................

Alamat Sekolah :..............................................................................................
Pendamping :..............................................................................................
Contact Person :..............................................................................................
Peserta Lomba
A. Pengiring :..............................................................................................
B. Dirijen :..............................................................................................
C. Anggota
1. .......................................................... 16. ..........................................................
2. .......................................................... 17. ..........................................................
3. .......................................................... 18. ..........................................................
4. .......................................................... 19. ..........................................................
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8. .......................................................... 23. ..........................................................
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11. .......................................................... 26. ..........................................................
12. .......................................................... 27. ..........................................................
13. .......................................................... 28. ..........................................................
14. .......................................................... 29. ..........................................................
15. .......................................................... 30. ..........................................................

Pontianak .................................2018
Kepala .............................................

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 Alamat : JL. H. Rais A. Rahman No. 65 Sungai Jawi, Pontianak; Telp. : 089614784725 (Aceng); Kode Pos : 78113

FORMULIR PENDAFTARAN

LOMBA CERDAS CERMAT RANGKING 1 (LCCR 1 )

TINGKAT SMP/MTs & SMA/SMK/MA SE-KALIMANTAN BARAT

Peserta 1
1. Nama :..............................................................
2. Asal sekolah :..............................................................
3. Kelas :..............................................................
4. Tempat tanggal lahir :..............................................................
5. Agama :...............................................................
6. Alamat :...............................................................

Peserta 2
1. Nama :..............................................................
2. Asal sekolah :..............................................................
3. Kelas :..............................................................
4. Tempat tanggal lahir :..............................................................
5. Agama :...............................................................
6. Alamat :...............................................................

Peserta 3
1. Nama :..............................................................
2. Asal sekolah :..............................................................
3. Kelas :..............................................................
4. Tempat tanggal lahir :..............................................................
5. Agama :...............................................................
6. Alamat :...............................................................

Pontianak ,..........................2018
Kepala ........................................

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