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. ……………………………………………………………..
Rp. ……………………………………………………………..
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Kabun,
2013
2013
PANITIA PENDAFTAR
(………………..……………..) (………………..……………..)
SMK Kabun