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IDENTITAS PESERTA EXTRA BAND Nama : ................................. ............................................... Jenis Kelamin : ................................. ............................................... Tempat,Tanggal Lahir : ................................. ............................................... Kelas/Jurusan : ................................. ./.............................................. Alamat lengkap : ................................. ............................................... .................................. ............................................... No.HP/Telp : ................................. ............................................... Minat : ................................. ............................................... Bakat : ................................. ............................................... Susah senang bersama...

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IDENTITAS

PESERTA EXTRA BAND

Nama: ................................................................................

Jenis Kelamin: ................................................................................

Tempat,Tanggal Lahir: ................................................................................

Kelas/Jurusan: ................................../..............................................

Alamat lengkap: ................................................................................

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

No.HP/Telp: ................................................................................

Minat: ................................................................................

Bakat: ................................................................................

Alasan: ................................................................................

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

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

Nama orang tua: .................................................................................

Ijin orang tua: .................................................................................

(Foto4 X 6)

1. Wajib Mentaati peraturan

2. Wajib hadir

3. Wajib membayar kas sesuai ketentuan

Susah senang bersama...