FORMULIR PENDAFTARAN AGRICULTURE PHOTOGRAPHY FESTIVAL

“EXPLORE AGRICULTURE”

NAMA : ...................................................................................................

NO. TLP : ........................................................................................

ALAMAT : .................................................................................

NAMA INSTANSI/UNIV/ : ...................................................................................................

SEKOLAH .................................................................................

E-MAIL : ..........................................................................................

JENIS KAMERA :……………………………………………………………….

JUDUL FOTO :

a. ................................................................................................

b. ................................................................................................

c. ................................................................................................

Denpasar,........................

Partisipan

(...................................)

NB : INFO LABIH LANJUT SILAHKAN HUBUNGI CP