FORMULIR PENDAFTARAN
SEKRETARIAT SSB KFC SRAGEN / HP. 081 329 611 963
1. NAMA :.................................................................................
4. UMUR :.................................................................................
7. ALAMAT :.................................................................................
RT / RW :.................................................................................
KAMPUNG :.................................................................................
KECAMATAN :.................................................................................
8. SEKOLAH :.................................................................................
9. KELAS :.................................................................................
Sragen, .......................................................
Orang Tua Siswa
(.................................................)
Catatan :
1. Pendaftaran : Rp. 50.000
2. Bola : Rp. 20.000
3. Iuran Bulanan : Rp. 40.000
SSB KFC
FORMULIR PENDAFTARAN
SEKRETARIAT SSB KFC SRAGEN / HP. 081 329 611 963
1. NAMA :.................................................................................
4. UMUR :.................................................................................
7. ALAMAT :.................................................................................
RT / RW :.................................................................................
KAMPUNG :.................................................................................
KECAMATAN :.................................................................................
8. SEKOLAH :.................................................................................
9. KELAS :.................................................................................
Sragen, .......................................................
Orang Tua Siswa
(.................................................)
Catatan :
1. Pendaftaran : Rp. 50.000
2. Bola : Rp. 20.000
3. Iuran Bulanan : Rp. 40.000