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    The document is a registration form for the National English Education Debate held by the English Department Student Association of Universitas Muhammadiyah Yogyakarta. It requests information on the participating institution, group, and two participants. The form collects details such as names, student ID numbers, dates of birth, addresses, phone numbers, emails, and signatures of the participants. It also provides the registration deadline and instructions to email the completed form along with student ID copies by June 10, 2013.

    Original Description:

    Registration Form of NEED UMY 2013

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    The document is a registration form for the National English Education Debate held by the English Department Student Association of Universitas Muhammadiyah Yogyakarta. It requests information on the participating institution, group, and two participants. The form collects details such as names, student ID numbers, dates of birth, addresses, phone numbers, emails, and signatures of the participants. It also provides the registration deadline and instructions to email the completed form along with student ID copies by June 10, 2013.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    76 views2 pages

    Registration Campus

    Uploaded by

    nurulhunafa
    The document is a registration form for the National English Education Debate held by the English Department Student Association of Universitas Muhammadiyah Yogyakarta. It requests information on the participating institution, group, and two participants. The form collects details such as names, student ID numbers, dates of birth, addresses, phone numbers, emails, and signatures of the participants. It also provides the registration deadline and instructions to email the completed form along with student ID copies by June 10, 2013.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 2

    UNIVERSITAS MUHAMMADIYAH YOGYAKARTA

    ENGLISH DEPARTMENT STUDENT ASSOCIATION

    Jalan Lingkar Selatan Tamantirta Kasihan Bantul Yogyakarta 55183


    http://needumy2013.blogspot.com
    needumy2013@gmail.com

    REGISTRATION FORM
    NATIONAL ENGLISH EDUCATION DEBATE UMY 2013
    A. Institution Identity
    Institution Name

    : .............................................................................................

    Name of Faculty/Major

    : .

    Institution Address

    : .............................................................................................

    Institution Phone

    : .............................................................................................

    Institution Email

    : .............................................................................................

    B. Group Identity
    Group name

    : .............................................................................................

    C. Participant Identity
    Participant
    Full Name..............................................................................................

    Photo
    3X4 cm

    Student Card Number

    : .............................................................................................

    Place and Date of Birth : .............................................................................................


    Home Address

    ................................................................................................:

    Mobile Phone

    : .............................................................................................

    Email

    :..............................................................................................

    Participant
    Full Name.........................................................................................

    Photo
    3X4 cm

    Student Card Number

    : .............................................................................................

    Place and Date of Birth : .............................................................................................


    Home Address

    ................................................................................................:

    Mobile Phone

    : .............................................................................................

    Email

    : .............................................................................................

    ....................., .............................. 2013

    UNIVERSITAS MUHAMMADIYAH YOGYAKARTA


    ENGLISH DEPARTMENT STUDENT ASSOCIATION

    Jalan Lingkar Selatan Tamantirta Kasihan Bantul Yogyakarta 55183


    http://needumy2013.blogspot.com
    needumy2013@gmail.com

    Scan the 1st Participants signature here


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

    Scan the 2nd Participants signature here


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

    Registration Regulations:
    1. Registration form can be downloaded on www.needumy2013.blogspot.com
    2. Make sure the registration form is well completed and sent to needumy2013@gmail.com no later
    than 10 June 2013.

    3. The student card copy must be attached.

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