FORMULIR PENDAFTARAN

Ø Nama (Tim tulis semua) : 1.___________________________

2. __________________________

3. __________________________

4. __________________________

5.__________________________

6.__________________________

7.__________________________

8.__________________________

Ø Asal Sekolah : ____________________________

____________________________

Ø Alamat Sekolah : _____________________________

____________________________

Ø No. Telp./Cell Phone : ____________________________

____________________________

Ø Lomba yang diikuti :

a. English Debate Competition

b. English Speech Contest

c. English Theatre Festival

(lingkari lomba yang diikuti)

Ø Foto (Tim: foto disendirikan & tulis nama)

	Foto 3x4		Foto 3x4

(Formulir pendaftaran bisa diperbanyak)