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KEMENTERIAN PENDIDIKAN NASIONAL

UNIVERSITAS SEBELAS MARET SURAKARTA


FAKULTAS PERTANIAN
KELOMPOK STUDI ILMIAH (KSI)
Sekretariat : Jl. Ir. Sutami No.36 A, Surakarta 57126
e-mail : ksifpuns@yahoo.com – blog : http://fast.blog.uns.ac.id

BIODATA PESERTA
LOMBA MEWARNAI TINGKAT TK se-SOLO
FAST’11 (Festival of Agri-Science and Technology 2011)

NAMA : .............................................................................
Tempat, Tanggal Lahir : .............................................................................
Alamat : ............................................................................
............................................................................
Asal Sekolah : ............................................................................

Guru Pembimbing
Photo

3x6
....................................
Lembar 1 : untuk peserta

BIODATA PESERTA
LOMBA MEWARNAI TINGKAT TK se-SOLO
FAST’11 (Festival of Agri-Science and Technology 2011)
NAMA : .............................................................................
Tempat, Tanggal Lahir : .............................................................................
Alamat : ............................................................................
............................................................................
Asal Sekolah : ............................................................................
Guru Pembimbing

Photo

3x6 .....................................

Lembar 2 : untuk panitia

“Bersama KSI, Tunjukkan Kalau Kita Punya Aksi!!”

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