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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, fsbb.fib@gmail.com

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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

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Nomor Telepon

:

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Email

:

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Nama Ketua

:

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No. Hp Ketua

:

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Nama Guru Pendamping

:

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No. Hp Pendamping

:

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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

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