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Alamat : Kp. Rawalele Rt 001/005 Desa Wanajaya Kec. Cibitung, Kab. Bekasi Telp.

0822 3219 2730 , Email : mzt.sportevent@gmail.com Bekasi 17510


Alamat : Kp. Rawalele Rt 001/005 Desa Wanajaya Kec. Cibitung, Kab. Bekasi Telp.
0822 3219 2730 , Email : mzt.sportevent@gmail.com Bekasi 17510

SURAT PERNYATAAN
Saya yang bertanda tangan di bawah ini :

Nama :

………………………………………………………………………………. Jabatan :

………………………………………………………………………………. Tim :

………………………………………………………………………………. Dengan ini

menyatakan bahwa :

Kami bersedia mengikuti Bekasi Junior Futsal League kategori............................yang di


selenggarakan MZT Sport Event dan bersedia mematuhi peraturan dan menjalankan
sebaik mungkin.

Apabila kelak di penyelenggaraan Bekasi Junior Futsal League kategori.......................Tim kami


melakukan pelanggaran yang tidak sesuai dengan peraturan yang ada, maka Tim kami bersedia
menerima sanksi.

Bekasi,....................................................2023

Hormat saya,

Materai 10000

……………………………………………..
Alamat : Kp. Rawalele Rt 001/005 Desa Wanajaya Kec. Cibitung, Kab. Bekasi Telp.
0822 3219 2730 , Email : mzt.sportevent@gmail.com Bekasi 17510

DAFTAR PEMAIN

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Alamat : Kp. Rawalele Rt 001/005 Desa Wanajaya Kec. Cibitung, Kab. Bekasi Telp.
0822 3219 2730 , Email : mzt.sportevent@gmail.com Bekasi 17510

DAFTAR PEMAIN

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Alamat : Kp. Rawalele Rt 001/005 Desa Wanajaya Kec. Cibitung, Kab. Bekasi Telp.
0822 3219 2730 , Email : mzt.sportevent@gmail.com Bekasi 17510

DAFTAR PEMAIN

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Alamat : Kp. Rawalele Rt 001/005 Desa Wanajaya Kec. Cibitung, Kab. Bekasi Telp.
0822 3219 2730 , Email : mzt.sportevent@gmail.com Bekasi 17510

DAFTAR PEMAIN

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Alamat : Kp. Rawalele Rt 001/005 Desa Wanajaya Kec. Cibitung, Kab. Bekasi Telp.
0822 3219 2730 , Email : mzt.sportevent@gmail.com Bekasi 17510

DAFTAR PEMAIN

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Alamat : Kp. Rawalele Rt 001/005 Desa Wanajaya Kec. Cibitung, Kab. Bekasi Telp.
0822 3219 2730 , Email : mzt.sportevent@gmail.com Bekasi 17510

DAFTAR OFFICIAL

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