Formulir A-3/1 (Pendaftaran Kontingen) Pertandingan Pencak Silat
FORM A – 3/1
PERTANDINGAN
PENCAK SILAT
( USIA DINI , PRA REMAJA DAN REMAJA )
FORMULIR PENDAFTARAN
Lampiran
Nama-nama
Pesilat IPSI / Kontingen : ...............................................................
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P
U T R A |
KELAS |
P
U T R I |
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A |
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B |
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C |
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D |
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E |
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F |
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G |
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H |
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I |
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J |
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K |
===== |
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L |
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TUNGGAL |
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GANDA |
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REGU |
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………………………… ,
……………………………………….
Pengurus IPSI /
Kontingen ....................................
Ketua
…………………………………….
Nama
terang
Fn.Word / FORMULIR PERTANDINGAN IPSI – 2012 / HAL - 4
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