Registration form of English Singing Contest

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SILIWANGI UNIVERSITY TASIKMALAYA FACULTY OF EDUCATIONAL SCIENCES AND TEACHERS’ TRAINING ENGLISH DEPARTMENT STUDENTS’ ASSOCIATION (EDSA) Jalan Siliwangi 24, Telp. (0265) 330634 Tasikmalaya 46115 Blogsite: http://edsafkipunsil.blogspot.co m , E-mail : edsafkipunsil@ g mail.com , Facebook : http://www.facebook.com/edsafkipunsi l Formulir Pendaftaran English Singing Contest Nama : ……………………………………………………. Alamat : ……………………………………………………. Tempat, Tanggal Lahir : ……………………………………………………. Sekolah/Perguruan Tinggi : ……………………………………………………. Pilihan Lagu :…………………………………………………….. No. Telepon : ……………………………………………………. Media Sosial : Intagram ………………….. Twitter ……………………. Facebook ………………….. ________________, _____ November 2015 Peserta, Pas Foto 3 X 4 cm

Transcript of Registration form of English Singing Contest

SILIWANGI UNIVERSITY TASIKMALAYAFACULTY OF EDUCATIONAL SCIENCES AND TEACHERS’ TRAINING

ENGLISH DEPARTMENT STUDENTS’ ASSOCIATION (EDSA)Jalan Siliwangi 24, Telp. (0265) 330634 Tasikmalaya 46115

Blogsite: http://edsafkipunsil.blogspot.co m , E-mail : edsafkipunsil@ g mail.com ,Facebook : http://www.facebook.com/edsafkipunsi l

Formulir Pendaftaran

English Singing Contest

Nama : …………………………………………………….

Alamat : …………………………………………………….

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

Sekolah/Perguruan Tinggi : …………………………………………………….

Pilihan Lagu :……………………………………………………..

No. Telepon : …………………………………………………….

Media Sosial : Intagram …………………..

Twitter …………………….

Facebook …………………..

________________, _____ November 2015

Peserta,

……………………………………………..

Pas Foto

3 X 4 cm