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  • Registration Form CMT 4-5

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    Ehem Aja Deh
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    The document contains a registration form and recommendation letter for 12 students from SMAIT Mentari Ilmu to participate in an event organized by CMT IV. The registration form provides details of the students such as name, birthdate, grade, interests and contact information of two advisers from the school. The recommendation letter signed by the school principal Evi Kurniawati states that the school wishes to follow all terms set by the event committee.

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    The document contains a registration form and recommendation letter for 12 students from SMAIT Mentari Ilmu to participate in an event organized by CMT IV. The registration form provides details of the students such as name, birthdate, grade, interests and contact information of two advisers from the school. The recommendation letter signed by the school principal Evi Kurniawati states that the school wishes to follow all terms set by the event committee.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    74 views6 pages

    Registration Form CMT 4-5

    Uploaded by

    Ehem Aja Deh
    The document contains a registration form and recommendation letter for 12 students from SMAIT Mentari Ilmu to participate in an event organized by CMT IV. The registration form provides details of the students such as name, birthdate, grade, interests and contact information of two advisers from the school. The recommendation letter signed by the school principal Evi Kurniawati states that the school wishes to follow all terms set by the event committee.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 6

    BADAN EKSEKUTIF SANTRI ORGANISASI SISWA

    INTRA SEKOLAH (BEST OSIS)SMP-SMA NURUL FIKR


    BOARDING SCHOOL LEMBANG
    Jl.Cisarongge RT 04/04 DesaCibodas-MaribayaKec. LembangKabupaten
    Bandung Barat 40391 ProvinsiJawa Barat

    Registration Form
    School Category
    International
    Schools Email
    Telephone
    Advisers

    : Junior High

    Senior High

    : smait.mentariilmu@gmail.com
    : 0267 8403334
    : 1. KARLINA, S.Pd., Gr.
    Occupation :
    (Phone number : 085759231460)

    2.
    Occupation :
    (Phone number : )
    Participants Data
    :
    1.
    Name
    : ANANDA AULIA LESMANA
    Birth
    : Karawang, 13 Agustus 2000
    Grade : X
    NIS
    : 0001510065
    Vocal GroupTheatre News Casting MHQ
    Short MovieKhitobah QnS None
    2.
    Name
    : NURKILA AULIA ALIF
    Birth
    : Karawang, 14 Agustus 2000
    Grade : X
    NIS
    : 0001510070
    Vocal GroupTheatre News Casting MHQ
    Short MovieKhitobah QnS None
    3.

    Name

    : SHABRINA AFIFAH AULIA


    Birth
    : Karawang, 2 Januari 2001
    Grade : X
    NIS
    : 0001510073
    Vocal GroupTheatre News Casting MHQ
    Short MovieKhitobah QnS None

    BADAN EKSEKUTIF SANTRI ORGANISASI SISWA


    INTRA SEKOLAH (BEST OSIS)SMP-SMA NURUL FIKR
    BOARDING SCHOOL LEMBANG
    Jl.Cisarongge RT 04/04 DesaCibodas-MaribayaKec. LembangKabupaten
    Bandung Barat 40391 ProvinsiJawa Barat

    4. Name

    5.

    5.

    : YURA SHAFIRA MAHARANI GIA


    Birth
    : Karawang, 25 Juni 2000
    Grade : X
    NIS
    : 0001510074
    Vocal GroupTheatre News Casting MHQ
    Short MovieKhitobah QnS None

    Name
    : CINDY ANGGRAENI
    Birth
    : Jakarta, 23 Agustus 1999
    Grade : XI
    NIS
    : 9991410016
    Vocal GroupTheatre News Casting MHQ
    Short MovieKhitobah QnS None

    6. Name
    : DINI AMELIA
    Birth
    : Jakarta, 7 November 1999
    Grade : XI
    NIS
    : 9991410020
    Vocal GroupTheatre News Casting
    Short MovieKhitobah QnS None
    7.

    8.

    Name
    : FILDA RORO ANDARI PAMBUDI
    Birth
    : Karawang, 11 Mei 1999
    Grade :
    NIS
    : 9991410023
    Vocal GroupTheatre News Casting
    Short MovieKhitobah QnS None

    Name

    : FIRLI ASRI ILYASIN

    MHQ

    MHQ

    BADAN EKSEKUTIF SANTRI ORGANISASI SISWA


    INTRA SEKOLAH (BEST OSIS)SMP-SMA NURUL FIKR
    BOARDING SCHOOL LEMBANG
    Jl.Cisarongge RT 04/04 DesaCibodas-MaribayaKec. LembangKabupaten
    Bandung Barat 40391 ProvinsiJawa Barat

    Birth
    : Purwakarta, 25 Desember 1998
    Grade : XI
    NIS
    : 9981410024
    Vocal GroupTheatre News Casting MHQ
    Short MovieKhitobah QnS None

    9.

    5.

    Name
    : NAHARA REGHY PUTRI NURSYAMSI
    Birth
    : Karawang, 9 Mei 1999
    Grade : XI
    NIS
    : 9991410026
    Vocal GroupTheatre News Casting MHQ
    Short MovieKhitobah QnS None

    10. Name
    : NENA RIZQY HERNANSYAH
    Birth
    : Karawang, 9 Maret 2000
    Grade : XI
    NIS
    : 0001410028
    Vocal GroupTheatre News Casting
    Short MovieKhitobah QnS None
    11. Name
    : NURUL AULIANNISA
    Birth
    : Karawang, 28 Desember 1999
    Grade : XI
    NIS
    : 9991410023
    Vocal GroupTheatre News Casting
    Short MovieKhitobah QnS None

    12.

    Name
    Birth

    : SYIFA SAFIRA PUTRI

    : Jakarta, 21 Juli 1999

    MHQ

    MHQ

    BADAN EKSEKUTIF SANTRI ORGANISASI SISWA


    INTRA SEKOLAH (BEST OSIS)SMP-SMA NURUL FIKR
    BOARDING SCHOOL LEMBANG
    Jl.Cisarongge RT 04/04 DesaCibodas-MaribayaKec. LembangKabupaten
    Bandung Barat 40391 ProvinsiJawa Barat

    Grade : XI
    NIS
    : 9991410031
    Vocal GroupTheatre
    Short MovieKhitobah

    News Casting MHQ


    QnS None

    BADAN EKSEKUTIF SANTRI ORGANISASI SISWA


    INTRA SEKOLAH (BEST OSIS)SMP-SMA NURUL FIKR
    BOARDING SCHOOL LEMBANG
    Jl.Cisarongge RT 04/04 DesaCibodas-MaribayaKec. LembangKabupaten
    Bandung Barat 40391 ProvinsiJawa Barat

    STATEMENT LETTER
    Name

    : EVI KURNIAWATI, S.SI., M.Pd

    Name of institut

    :SMAIT Mentari Ilmu

    Position

    :Kepala Sekolah

    Tel/Fax

    : 085717804202

    I, as the representative of our institute. Announced that we wish to follow all terms
    and regulations that have been made by the Committee of

    CMT IV during the event.

    Therefore this statement letter. Hopefully wil be used according to the agreement.

    Karawang, 01 April 2016


    Kepala Sekolah

    Evi Kurniawati, S.Si.,


    M.Pd
    ERN : MI
    198006.200806.2.005

    BADAN EKSEKUTIF SANTRI ORGANISASI SISWA


    INTRA SEKOLAH (BEST OSIS)SMP-SMA NURUL FIKR
    BOARDING SCHOOL LEMBANG
    Jl.Cisarongge RT 04/04 DesaCibodas-MaribayaKec. LembangKabupaten
    Bandung Barat 40391 ProvinsiJawa Barat

    School Recommendations Letter

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