Anda di halaman 1dari 1

FORMULIR PENDAFTARAN

Foto 3x4
CALON ANGGOTA
KOMUNITAS SENI FEB UNRAM 2022

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


Alamat : ........................................................................................
No. HP/WA : ........................................................................................
E-Mail : ........................................................................................
Keahlian : ........................................................................................
Hobi : ........................................................................................
Organisasi yang pernah di ikuti : ........................................................................................
........................................................................................
........................................................................................
Prestasi : ........................................................................................
........................................................................................
........................................................................................
Devisi Kesenian yang ingin dipilih : MUSIK PERKUSI DANCE
VOKAL TEATER TARI

PHOTOGRPHY LUKIS

DESAIN GRAFIS
*lingkaripilihan / tebalkan tulisan (bold)

Alasan Bergabung Komunitas Seni FEB : .........................................................................


......................................................................................................................................................
......................................................................................................................................................
....................................................................................................................................................

Mataram, ..............................2022
Wali Calon Anggota
Calon Anggota

( ...................................... )
( ...................................... )
NIM : ...........................

Anda mungkin juga menyukai