MUDA MUDI KARYA MUDA 2

DESA PURWODADI DALAM KEC. TANJUNG SARI

KABUPATEN LAMPUNG SELATAN
Sekretariat : Jl. Pemuda Kel. Purwodadi Dalam, Kec. Tanjung Sari, Kab. Lamsel
Email : mudamudikaryamudaa2@gmail.com cp:0852-6896-0637 M.ikmal Fauzi

FORMULIR PENDAFTARAN PERLOMBAAN SENI TARI

DALAM RANGKA ANNIVERSARY KARYA MUDA 2 YANG KE 10 TAHUN

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NO NAMA ANGGOTA UMUR JENIS KELAMIN

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Purwodadi Dalam,.....,Januari 2023

Pendamping

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