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FOR ELEMENTARY SCHOOL (SD/MI) JUNIOR HIGH SCHOOL

STUDENT (SMP/MTs) SENIOR HIGH SCHOOL STUDENT (SMA/MA)


AND VOCATIONAL SCHOL STUDENT (SMK/MAK)

Comittee of Erlangga English Speech Contest 2018

REGISTRATION FORM
Date of Registration: ________________________________________________________

Name: ____________________________________________________________________

School Name and City: _______________________________________________________

School Address: _____________________________________________________________

Email: _____________________________________________________________________

Age/Sex: ___________________Grade/Program: __________________________________

Call Phone Student/Teacher: ___________________________________________________

.......,........................................2018

*If you are officially registering as representative of your


school, teacher or principal must sign the registration form .......,........................................

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