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FORMULIR PENDAFTARAN

LOMBA NYANYI 3 WARNA


NOMOR PENDAFTARAN : ............................................................................................................
NAMA : ............................................................................................................
JENIS KELAMIN : Laki-Laki / Perempuan*)
TANGKAI LOMBA : Pop, Dangdut, Rock*)
JUDUL LAGU : .............................................................................................................
NADA DASAR : .............................................................................................................
NO. HP/WHATS APP : .............................................................................................................

Bandung, ..................................... 2021


Peserta,

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Keterangan: *) Lingkari yang dipilih

NO. KATEGORI JUDUL LAGU PENYANYI


Hati Yang Terluka Broery Pesulima
Cinta Titik Puspa
1
POP Everything I Do Bryan Adam
My Heart Will Go On Celline Dion
Cinta Sejati Bunga Citra L
Bimbang Elvy Sukaesih
Secawan Madu Kristina
2 Dangdut
Kehilangan Rhoma Irama
Cinta Hitam Meggy Z
Rumah Kita Godbless
3 Rock Cinta Dikota Tua Nicky Astria
She’s Gone Steelheart
What’s Up 4Non Blondes

NOMOR PENDAFTARAN : ............................................................................................................


TANGKAI LOMBA : Pop, Dangdut, Rock*)
NADA DASAR : .............................................................................................................
BIAYA ADMINISTRASI : Rp. 150.000,- (Seratus Lima Puluh Ribu Rupiah)
PEMBAYARAN : Transfer Ke Rekening BRI 7637-01-011733-53-1
a/n Imas Maskanah

Peserta, Penerima,

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