FormulirPendaftaranDeconbotion15.pdf
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FORMULIR PENDAFTARAN DECONBOTION 2015 NAMA TIM : .......................................................................................... NAMA RC KAPAL : .......................................................................................... NAMA ANGGOTA : 1) ANGGOTA PERTAMA (KETUA) • NIM : .......................................................................................... • JURUSAN : .......................................................................................... • FAKULTAS : .......................................................................................... • UNIVERSITAS : .......................................................................................... • NO. HP : .......................................................................................... • ALAMAT DOMISILI : .......................................................................................... 2) ANGGOTA KEDUA • NIM : .......................................................................................... • JURUSAN : .......................................................................................... • FAKULTAS : .......................................................................................... • UNIVERSITAS : .......................................................................................... • NO. HP : .......................................................................................... • ALAMAT DOMISILI : ..........................................................................................
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Transcript of FormulirPendaftaranDeconbotion15.pdf
FORMULIR PENDAFTARAN DECONBOTION 2015
NAMA TIM : ..........................................................................................
NAMA RC KAPAL : ..........................................................................................
NAMA ANGGOTA :
1) ANGGOTA PERTAMA (KETUA)
• NIM : .......................................................................................... • JURUSAN : .......................................................................................... • FAKULTAS : .......................................................................................... • UNIVERSITAS : .......................................................................................... • NO. HP : .......................................................................................... • ALAMAT DOMISILI : ..........................................................................................
2) ANGGOTA KEDUA
• NIM : .......................................................................................... • JURUSAN : .......................................................................................... • FAKULTAS : .......................................................................................... • UNIVERSITAS : .......................................................................................... • NO. HP : .......................................................................................... • ALAMAT DOMISILI : ..........................................................................................
3) ANGGOTA KETIGA
• NIM : .......................................................................................... • JURUSAN : .......................................................................................... • FAKULTAS : .......................................................................................... • UNIVERSITAS : .......................................................................................... • NO. HP : .......................................................................................... • ALAMAT DOMISILI : ..........................................................................................
EMAIL TIM : ..........................................................................................
