FORMULIR PENDAFTARAN CABANG OLAHRAGA PES 2013 & FIFA 14

WELFARE CUP V 2014

“FIND YOUR OWN WAY”

ANGKATAN:.............

NOMOR PERTANDINGAN:

 PES PERORANGAN

1.............................................

2.............................................

3.............................................

 FIFA PERORANGAN

1.............................................

2.............................................

3.............................................

 PES BEREGU

1..............................................

2..............................................

3..............................................

 FIFA BEREGU

1..............................................

2..............................................

3..............................................
 FORMULIR PENDAFTARAN CABANG OLAHRAGA ATLETIK

WELFARE CUP V 2014

“FIND YOUR OWN WAY”

ANGKATAN:

NOMOR PERTANDINGAN:

 LARI 100 M PUTRA

1.............................................

2.............................................

3.............................................

 LARI 100 M PUTRI

1.............................................

2.............................................

3.............................................

 LARI 1000 M PUTRA

1..............................................

2..............................................

3..............................................

 LARI 1000 M PUTRI

1..............................................

2..............................................

3..............................................

 LARI 1000 M ESTAFET MIX (1 PUTRA &1 PUTRI)

1...........................&..............................

2...........................&...............................
 FORMULIR PENDAFTARAN CABANG OLAHRAGA TENIS MEJA

WELFARE CUP V 2014

“FIND YOUR OWN WAY”

ANGKATAN:...........

NOMOR PERTANDINGAN:

 TUNGGAL PUTRA

1.............................................

2.............................................

3.............................................

 TUNGGAL PUTRI

1.............................................

2.............................................

3.............................................

 GANDA PUTRA

1..............................................

2..............................................

3..............................................

 GANDA PUTRI

1..............................................

2..............................................

3..............................................

 GANDA CAMPURAN

1...........................&..............................

2...........................&...............................
 RINCIAN BIAYA PENDAFTARAN

TENIS MEJA

- PERORANGAN TPa/Tpi 5.000/org

- PERORANGAN GPa/GPi/GC 10.000/pasangan

ATLETIK

- PERORANGAN 100M Pa/Pi 5.000/org

- PERORANGAN 1500M Pa/Pi 5.000/org
- PERORANGAN 1500M Mix 10.000/pasangan

FIFA14 DAN PES 2013

- PERORANGAN Pa/Pi 5.000/org

- BEREGU 10.000/tim

FUTSAL

- FUTSAL PUTRA 200.000/tim

- FUTSAL PUTRI 200.000/tim

VOLI

- VOLI PUTRA 20.000/tim

- VOLI PUTRI 20.000/tim