FORM PENDAFTARAN TURNAMENT FUTSAL

FORM PENDAFTARAN

TURNAMENT FUTSAL SD SE-KECAMATAN KABUN 2012

PESERTA FUTSAL SD

1. NAMA TEAM                                :...............................................................................

2. NAMA PENDAFTAR                    :...............................................................................

3. NAMA SEKOLAH                         :...............................................................................

4. NAMA OFFICIAL                        :...............................................................................

5. NO.HP                                           :...............................................................................

6. UANG DAFTAR                            : Rp. .......................................................................

7. NAMA ANGGOTA :

NO	NIS	NAMA PEMAIN
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

 Kabun,                    2013

 PANITIA                                                                    PENDAFTAR

  

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