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    This document contains the registration form for three participants from SMAIT Darul Quran for the IRON 2018 competition. The first participant is Mohamad Pandu Agung Rachmadan from Jakarta, the second is Ibrohim Muhammad Dhiyaulhaq from Depok, and the third is Muhammad Fadhlurrahman Faishol from Bandar Lampung. Their personal details like name, student ID, date of birth, address, email and photo are provided in the form.

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    This document contains the registration form for three participants from SMAIT Darul Quran for the IRON 2018 competition. The first participant is Mohamad Pandu Agung Rachmadan from Jakarta, the second is Ibrohim Muhammad Dhiyaulhaq from Depok, and the third is Muhammad Fadhlurrahman Faishol from Bandar Lampung. Their personal details like name, student ID, date of birth, address, email and photo are provided in the form.

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    © All Rights Reserved
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    11 views2 pages

    Debat

    Uploaded by

    muhammad dhiyaulhaq
    This document contains the registration form for three participants from SMAIT Darul Quran for the IRON 2018 competition. The first participant is Mohamad Pandu Agung Rachmadan from Jakarta, the second is Ibrohim Muhammad Dhiyaulhaq from Depok, and the third is Muhammad Fadhlurrahman Faishol from Bandar Lampung. Their personal details like name, student ID, date of birth, address, email and photo are provided in the form.

    Copyright:

    © All Rights Reserved
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    of 2

    IRON 2018

    REGISTRATION FORM

    Institution : SMAIT Darul Quran


    Institution Address : Jln. Puspiptek Pembangunan Cikarang, Gunung Sindur,
    Pabuaran, Gn. Sindur, Bogor, Jawa Barat 16340
    Institution Phone Number : 0812-8882-9847

    First Participant

    Full Name : Mohamad Pandu Agung Rachmadan


    ID Number (Student Card) : 0017629213
    Birth : Jakarta, 14 Agustus 2001
    Home Address : Griya Indah Serpong Blok K3/12a Gunung sindur, Bogor
    Phone Number : ………………………………………………………………………………………………………
    Email Address : panduagung14@yahoo.com

    Second Participant

    Full Name : Ibrohim Muhammad Dhiyaulhaq


    ID Number (Student Card) : 0011120865
    Birth : Jakarta, 24 April 2001
    Home Address : Jln. Ar-royyan no. 24 kel. Tanah baru kec. Beji, Depok
    Phone Number : ………………………………………………………………………………………………………
    Email Address : dhiyaulhaqdawn1224@gmail.com

    Third Participant

    Full Name : Muhammad Fadhlurrahman Faishol


    ID Number (Student Card) : n161710106
    Birth : Bandar Lampung, 16 Desember 2000
    Home Address : Jln.Lada ujung IV Rajabasa, Bandar lampung
    Phone Number : ………………………………………………………………………………………………………
    Email Address : ………………………………………………………………………………………………………

    Photos (3 x 4)

    1st Participant 2nd Participant 3rd Participant


    IRON 2018

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