V. NAMA PESERTA :
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3. ................................................................................................................................................
PANITIA (FESPI’4) FESTIVAL SENI PELAJAR ISLAM
TINGGKAT SMP/MTS & SMA/SMK/MA SE-JAWA TIMUR
4. ..............................................................................................................................................
5. ..............................................................................................................................................
6. ..............................................................................................................................................
7. ..............................................................................................................................................
PANITIA (FESPI’4) FESTIVAL SENI PELAJAR ISLAM
TINGGKAT SMP/MTS & SMA/SMK/MA SE-JAWA TIMUR
8. ..............................................................................................................................................
9. ..............................................................................................................................................
10. ..............................................................................................................................................
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PANITIA (FESPI’4) FESTIVAL SENI PELAJAR ISLAM
TINGGKAT SMP/MTS & SMA/SMK/MA SE-JAWA TIMUR
CATATAN :
Diisi dengan huruf kapital
Dilampiri dengan fotocopy kartu pelajar dan surat rekomendasi
POTONG DISINI
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TANDA BUKTI PELUNASAN PENDAFTARAN
FESPI’4 (Festival Seni Pelajar Islam ke 4) MTs/SMP & SMA/SMK/MA SE JAWA TIMUR
Panitia Penerima
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