SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098 Telp. (021) 3840915, Fax. (021) 3517505 FORMULIR PENDAFTARAN BASKET PUTRA “BAM” No. Kwitansi : _________________________________________________________ Nama Sekolah : _________________________________________________________ Alamat Sekolah : _________________________________________________________ No. HP : _________________________________________________________ Peserta : No. Pendaftaran :
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
FORMULIR PENDAFTARAN BASKET PUTRA
“BAM” No. Kwitansi : _________________________________________________________ Nama Sekolah : _________________________________________________________ Alamat Sekolah : _________________________________________________________ No. HP : _________________________________________________________ Peserta :
No. Pendaftaran :
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
Kelengkapan peserta (diisi oleh panitia) : Form pendaftaran [ ] Uang pendaftaran (Rp250.000,00) [ ] Uang WO (Rp50.000,00) [ ] Foto 3x4 (2) [ ] Fotokopi kartu pelajar (2) [ ]
Tanda Tangan Peserta
(……………..……………)
Tanda Tangan Panitia
(……………..……………)
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
FORMULIR PENDAFTARAN VOLI PUTRI
“BAM” No. Kwitansi : _________________________________________________________ Nama Sekolah : _________________________________________________________ Alamat Sekolah : _________________________________________________________ No. HP : _________________________________________________________ Peserta :
No. Pendaftaran :
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
Kelengkapan peserta (diisi oleh panitia) : Form pendaftaran [ ] Uang pendaftaran (Rp300.000,00) [ ] Uang WO (Rp50.000,00) [ ] Foto 3x4 (2) [ ] Fotokopi kartu pelajar (2) [ ]
Tanda Tangan Peserta
(……………..……………)
Tanda Tangan Panitia
(……………..……………)
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
FORMULIR PENDAFTARAN CHEERLEADING
“BAM” No. Kwitansi : _________________________________________________________ Nama Sekolah : _________________________________________________________ Alamat Sekolah : _________________________________________________________ No. HP : _________________________________________________________ Peserta :
No. Pendaftaran :
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
Kelengkapan peserta (diisi oleh panitia) : Form pendaftaran [ ] Uang pendaftaran (Rp150.000,00) [ ] Uang WO (Rp50.000,00) [ ] Foto 3x4 (2) [ ] Fotokopi kartu pelajar (2) [ ]
Tanda Tangan Peserta
(……………..……………)
Tanda Tangan Panitia
(……………..……………)
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
FORMULIR PENDAFTARAN GAMBAR (KELOMPOK)
“BAM” No. Kwitansi : _________________________________________________________ Nama Sekolah : _________________________________________________________ Alamat Sekolah : _________________________________________________________ No. HP : _________________________________________________________ Peserta :
No. Pendaftaran :
Kelengkapan peserta (diisi oleh panitia) : Form pendaftaran [ ] Uang pendaftaran (Rp150.000,00) [ ] Uang WO (Rp50.000,00) [ ] Foto 3x4 (2) [ ] Fotokopi kartu pelajar (2) [ ]
Tanda Tangan Peserta
(……………..……………)
Tanda Tangan Panitia
(……………..……………)
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
FORMULIR PENDAFTARAN BAND (ACCOUSTIC MEDLEY)
“BAM” No. Kwitansi : _________________________________________________________ Nama Sekolah : _________________________________________________________ Alamat Sekolah : _________________________________________________________ No. HP : _________________________________________________________ Peserta :
No. Pendaftaran :
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
Kelengkapan peserta (diisi oleh panitia) : Form pendaftaran [ ] Uang pendaftaran (Rp300.000,00) [ ] Uang WO (Rp50.000,00) [ ] Foto 3x4 (2) [ ] Fotokopi kartu pelajar (2) [ ]
Tanda Tangan Peserta
(……………..……………)
Tanda Tangan Panitia
(……………..……………)
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
FORMULIR PENDAFTARAN IKLAN
“BAM” No. Kwitansi : _________________________________________________________ Nama Sekolah : _________________________________________________________ Alamat Sekolah : _________________________________________________________ No. HP : _________________________________________________________ Peserta :
No. Pendaftaran :
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
Kelengkapan peserta (diisi oleh panitia) : Form pendaftaran [ ] Uang pendaftaran (Rp300.000,00) [ ] Uang WO (Rp50.000,00) [ ] Foto 3x4 (2) [ ] Fotokopi kartu pelajar (2) [ ]
Tanda Tangan Peserta
(……………..……………)
Tanda Tangan Panitia
(……………..……………)
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
FORMULIR PENDAFTARAN MODERN DANCE
“BAM” No. Kwitansi : _________________________________________________________ Nama Sekolah : _________________________________________________________ Alamat Sekolah : _________________________________________________________ No. HP : _________________________________________________________ Peserta :
No. Pendaftaran :
SMA SANTA URSULA Jalan Pos 2, Jakarta 10010, Tromol Pos 1098
Telp. (021) 3840915, Fax. (021) 3517505
Kelengkapan peserta (diisi oleh panitia) : Form pendaftaran [ ] Uang pendaftaran (Rp200.000,00) [ ] Uang WO (Rp50.000,00) [ ] Foto 3x4 (2) [ ] Fotokopi kartu pelajar (2) [ ]
Tanda Tangan Peserta
(……………..……………)
Tanda Tangan Panitia
(……………..……………)
Related Documents
