Formulir Pendaftaran Festival Banjari [PDF]

Citation preview

FORMULIR PENDAFTARAN FESTIVAL SHOLAWAT AL-BANJARI SE-KABUPATEN MAGETAN DALAM RANGKA HARI SANTRI NASIONAL TAHUN 1439 H/2017 M PENGURUS CABANG NAHDLATUL ‘ULAMA (PCNU) KABUPATEN MAGETAN



NAMA GROUP



: .............................................................................................................



UTUSAN DARI



: ............................................................................................................. ( * )



ALAMAT



: .............................................................................................................



NO. TELEPHON



: .............................................................................................................



LAGU BEBAS



: 1........................................................................................................... 2...........................................................................................................



NAMA PESERTA



:



1. ............................................................................................................. 2. ............................................................................................................. 3. ............................................................................................................. 4. ............................................................................................................. 5. ............................................................................................................. 6. ............................................................................................................. 7. ............................................................................................................. 8. ............................................................................................................. 9. ............................................................................................................. 10. ............................................................................................................. Magetan, ....................................... 2017 PIMPINAN GROUP



___________________________ CATATAN :  Diisi dengan huruf kapital ( * ) Diisi kecamatan Dilampiri FC identitas atau Surat keterangan utusan dari PonPes/Madin