FORMULIR PENDAFTARAN

ANGGOTA PADUAN SUARA

SMA NEGERI 1 JATILAWANG
TAHUN 2020

Nama : ................................................................. (L/P)

FOTO
Kelas : ........................
3X 4

TTL : ............................... , ...............................

Alamat : ..........................................................................
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Nomor HP : ………………………………………………….

Motivasi : .......................................................................................................

Prestasi Bidang Musik :

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2...................................................................................................
3...................................................................................................

Orang tua / wali Peserta

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NB :*Formulir dibawa saat seleksi dan diserahkan kepada panitia