REMAJA MUSHOLA DAN ROHANI ISLAM AN-NAJIB

SMA NEGERI 2 PRAYA

Jln. Pejanggik Tampar – Ampar (0370) 654252 Praya Lombok Tengah KP. 83511
Website: sman2praya.sch.id – email : smandrapraya@yahoo.coid

FORMULIR PENDAFTARAN

REMUS DAN ROHIS AN- NAJIB SMAN 2 PRAYA

1. IDENTITAS DIRI

Nama : _________________________________________________________

Kelas : _________________________________________________________

Tempat tanggal lahir : _________________________________________________________

Asal sekolah : _________________________________________________________

Alamat : _________________________________________________________.

No Tlp/WA : _________________________________________________________

2. ALASAN MENGIKUTI REMUS DAN ROHIS AN-NAJIB

1. _____________________________________________________________________________
2. _____________________________________________________________________________
3. _____________________________________________________________________________

Praya, 2023

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