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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] -------------------------------------------------------------- ------------------------------------------------ FORMULIR PENDAFTARAN LOMBA TEATRIKAL PUISI TINGKAT SMA/SEDERAJAT SE-JAWA TIMUR FESTIVAL SASTRA BULAN BAHASA 2019 Nama Sekolah : ............................................... ............................................... ............. Alamat Sekolah : ............................................... ............................................... .............. Nomor Telepon : ............................................... ............................................... .............. Email : ............................................... ............................................... .............. Nama Ketua : ............................................... ............................................... .............. No. Hp Ketua : ............................................... ............................................... .............. Nama Guru Pendamping : ............................................... ...............................................

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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]

--------------------------------------------------------------------------------------------------------------

FORMULIR PENDAFTARAN

LOMBA TEATRIKAL PUISI TINGKAT SMA/SEDERAJAT SE-JAWA TIMUR

FESTIVAL SASTRA BULAN BAHASA 2019

Nama Sekolah

:

...........................................................................................................

Alamat Sekolah

:

............................................................................................................

Nomor Telepon

:

............................................................................................................

Email

:

............................................................................................................

Nama Ketua

:

............................................................................................................

No. Hp Ketua

:

............................................................................................................

Nama Guru Pendamping

:

............................................................................................................

No. Hp Pendamping

:

............................................................................................................

Judul Puisi

:

............................................................................................................

Pengarang

:

............................................................................................................

Daftar nama anggota kelompok:

No.

Nama Anggota

Nomor Telepon

Posisi (Aktor/Pemusik)

1.

2.

3.

4.

5.

…………………., ……., ………. 2019

Ketua

(……………………………...................)