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PANITIA FESTIVAL SASTRA BULAN BAHASA
FAKULTAS ILMU BUDAYA UNIVERSITAS BRAWIJAYA
Sekertariat Bersama Fakultas Ilmu Budaya Gedung B, Lantai 2
Jalan Veteran, Kota Malang 65145, [email protected]
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FORMULIR PENDAFTARAN
LOMBA TEATRIKAL PUISI TINGKAT SMA/SEDERAJAT SE-JAWA TIMUR
FESTIVAL SASTRA BULAN BAHASA 2019
Nama Sekolah
:
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Alamat Sekolah
:
............................................................................................................
Nomor Telepon
:
............................................................................................................
:
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Nama Ketua
:
............................................................................................................
No. Hp Ketua
:
............................................................................................................
Nama Guru Pendamping
:
............................................................................................................
No. Hp Pendamping
:
............................................................................................................
Judul Puisi
:
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Pengarang
:
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Daftar nama anggota kelompok:
No.
Nama Anggota
Nomor Telepon
Posisi (Aktor/Pemusik)
1.
2.
3.
4.
5.
…………………., ……., ………. 2019
Ketua
(……………………………...................)