Formulir Pendaftaran
Muslimah In Action 2012
Nama Sekolah / Utusan/
universitas : ..............................................................................
Alamat * :
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Nama Pembina* :
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No Telp / HP :
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- Religi Solois Nasyid
Nama :
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Umur : .................................................................
Lagu yang dibawa :
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- Fahion Show Muslimah dengan tema ‘’yang Batik ya Indonesia’’
Nama :
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Umur : .................................................................
NB. Segera daftarkan nama
anda , karena apabila jumlah peserta melebihi qouta,
pendaftaran langsung kita tutup
*)
bila Umum Tidak perlu diisi