lomba paduan suara - KPU Jakarta Selatan

FORMULIR PENDAFTARAN
LOMBA PADUAN SUARA
KPU KOTA ADMINISTRASI JAKARTA SELATAN
Jl. Kapten Tendean No. 9 Mampang Prapatan 12790 Telp. : (021) 791 888 27, Fax : (021) 791 888 28
Nama Sekolah
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Alamat Sekolah
:
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No. Telp / HP
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Nama Dirigen
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Nama Peserta
:
1. ..................................................... 2. .....................................................
3. ..................................................... 4. .....................................................
(Sesuai akte kelahiran)
5. ..................................................... 6. .....................................................
7. ..................................................... 8. .....................................................
9. ..................................................... 10. ...................................................
11. ................................................... 12. ...................................................
13. ................................................... 14. ...................................................
15. ................................................... (maksimal 16 orang termasuk dirigen)
Pakaian
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Musik Pengiring
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Lagu Wajib
:
Jingle Pilkada DKI Jakarta tahun 2017 “Ayo Memilih untuk Jakarta”
Lagu Tambahan
:
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Jakarta, ..................................... 2016
Pendaftar,
(....................................................)
CP : 0878-7837-1035 / 0811-8075-459