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  • Registration Form - Open House FK 2013

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    Bimo Harmaji
    16 views4 pages
    The document is a registration form for an open house event at FK Unlam exploring futures in medicine. It requests information from registrants including their name, phone number, email, and preferred date and shift (morning or afternoon). Space is provided to list up to 55 student attendees, recording their name, phone number, and social media contact information. The shifts will be confirmed later by the BEM FK Unlam organizing committee.

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    11ln1

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    The document is a registration form for an open house event at FK Unlam exploring futures in medicine. It requests information from registrants including their name, phone number, email, and preferred date and shift (morning or afternoon). Space is provided to list up to 55 student attendees, recording their name, phone number, and social media contact information. The shifts will be confirmed later by the BEM FK Unlam organizing committee.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    16 views4 pages

    Registration Form - Open House FK 2013

    Uploaded by

    Bimo Harmaji
    The document is a registration form for an open house event at FK Unlam exploring futures in medicine. It requests information from registrants including their name, phone number, email, and preferred date and shift (morning or afternoon). Space is provided to list up to 55 student attendees, recording their name, phone number, and social media contact information. The shifts will be confirmed later by the BEM FK Unlam organizing committee.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 4

    Open House FK Unlam - Explorare Futura in Medicina

    Registration Form
    Sekolah:
    Alamat Sekolah:
    Tlp. Sekolah:
    Pendaftar:
    No. Telp
    Email:
    Permintaan shift:

    Tanggal (3) atau (10) November


    Shift 1 (jam 07.00-12.00) atau Shift 2 (jam 11.00-16.00)
    *Shift akan dikonfirmasi & diumumkan oleh BEM FK Unlam di kemudian hari

    No.

    Nama Siswa
    1 Anzelvashala Kardita
    2
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14
    15
    16
    17
    18
    19
    20
    21
    22
    23
    24
    25
    26
    27
    28
    29
    30
    31
    32
    33

    Kelas
    XI-A-3

    No. HP Siswa
    0857 8767 2003

    34
    35
    36
    37
    38
    39
    40
    41
    42
    43
    44
    45
    46
    47
    48
    49
    50
    51
    52
    53
    54
    55

    in Medicina

    Shift 2 (jam 11.00-16.00)

    eh BEM FK Unlam di kemudian hari

    Email/Twitter/FB Siswa
    bemfk.unlam@gmail.com

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