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GERAKAN PRAMUKA

GUGUS DEPAN 12.059 – 12.060


PANGKALAN MADRASAH ALIYAH NEGERI 1 MAGETAN
Jalan Raya Takeran Kel. Takeran Kec. Takeran Kode Pos. 63383 Telp. (0351) 349091
Email : pramukamantakeran@gmail.com Blog : https://pramukamanster.blogspot.co.id

FORMULIR PENDAFTARAN PESERTA


GALANG SCOUT COMPETITION V SD/MI SEDERAJAT
TINGKAT KABUPATEN MAGETAN TAHUN 2022

Nama Lengkap :...............................................................................................................


Nama Panggilan :...............................................................................................................
Tempat, Tanggal Lahir :................................................................................................................
Alamat :................................................................................................................
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Telp/HP :................................................................................................................
Nama Sekolah :................................................................................................................
Alamat Sekolah :................................................................................................................
Kelas :................................................................................................................

Mengizinkan, ...................,..............................
Orangtua Wali Yang Bersangkutan

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Catatan :
-Di isi menggunakan HURUF KAPITAL
-Formulir ini dapat digandakan

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