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  • Panitia Pelaksana Firetech 2018 Ukm Neo Telemetri: Formulir Pendaftaran Peserta Mobile Legends Firetech 2018

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    This document contains information about a Mobile Legends tournament called FireTech 2018 organized by the Neo Telemetri student organization at Andalas University in Padang, Indonesia. It includes a registration form for participants to provide their name, team name, address, and phone number. It states there is a registration fee of Rp 100,000 and participants must agree to comply with all rules and regulations. The document also includes a team roster form for teams to list the names, nicknames, dates of birth, addresses, occupations, and phone numbers of up to 5 team members including the team captain.

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    This document contains information about a Mobile Legends tournament called FireTech 2018 organized by the Neo Telemetri student organization at Andalas University in Padang, Indonesia. It includes a registration form for participants to provide their name, team name, address, and phone number. It states there is a registration fee of Rp 100,000 and participants must agree to comply with all rules and regulations. The document also includes a team roster form for teams to list the names, nicknames, dates of birth, addresses, occupations, and phone numbers of up to 5 team members including the team captain.

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    7 views3 pages

    Panitia Pelaksana Firetech 2018 Ukm Neo Telemetri: Formulir Pendaftaran Peserta Mobile Legends Firetech 2018

    Uploaded by

    Fadiel Juventini
    This document contains information about a Mobile Legends tournament called FireTech 2018 organized by the Neo Telemetri student organization at Andalas University in Padang, Indonesia. It includes a registration form for participants to provide their name, team name, address, and phone number. It states there is a registration fee of Rp 100,000 and participants must agree to comply with all rules and regulations. The document also includes a team roster form for teams to list the names, nicknames, dates of birth, addresses, occupations, and phone numbers of up to 5 team members including the team captain.

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    © All Rights Reserved
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    of 3

    Panitia Pelaksana FireTech 2018

    UKM Neo Telemetri


    Gedung Pusat Kegiatan Mahasiswa (PKM) Lantai II, Universitas Andalas, Limau Manih,Padang,
    Sumatera Barat 25163
    Website : www.neotelemetri.com | Email: neotelemetri.unand@gmail.com | Phone: +858-3498-9196

    FORMULIR PENDAFTARAN PESERTA


    MOBILE LEGENDS FIRETECH 2018

    Saya yang bertandatangan di bawah ini:

    Nama :
    Nama TIM :
    Alamat :
    No Telp :

    Dengan ini bersedia menjadi peserta “MOBILE LEGENDS TOURNAMENT


    FIRETECH 2018” dengan biaya pendaftaran sebesar Rp 100.000,- dan bersedia menaati semua
    ketentuan dan aturan yang telah ditentukan panitia.
    Kami telah memahami persyaratan yang telah ditetapkan dan bersedia mematuhi semua
    peraturan, serta siap menerima sanksi dari panitia penyelenggara dalam bentuk apapun jika
    terbukti melanggar.

    Padang, ………………. 2018

    (...............................................)
    Panitia Pelaksana FireTech 2018
    UKM Neo Telemetri
    Gedung Pusat Kegiatan Mahasiswa (PKM) Lantai II, Universitas Andalas, Limau Manih,Padang,
    Sumatera Barat 25163
    Website : www.neotelemetri.com | Email: neotelemetri.unand@gmail.com | Phone: +858-3498-9196

    DAFTAR PEMAIN
    NAMA TIM :……………………………………

    KETUA TIM

    Nama : ……………………………………………………………
    Nickname : ……………………………………………………………
    TTL : ……………………………………………………………
    Alamat :…………………………………………………………….
    Pekerjaan :…………………………………………………………….
    No Telp : ……………………………………………………………

    ANGGOTA TIM

    Nama : ……………………………………………………………
    Nickname : ……………………………………………………………
    TTL : ……………………………………………………………
    1
    Alamat :…………………………………………………………….
    Pekerjaan :…………………………………………………………….
    No Telp : ……………………………………………………………

    Nama : ……………………………………………………………
    Nickname : ……………………………………………………………
    TTL : ……………………………………………………………
    2 Alamat : ……………………………………………………………
    Pekerjaan : ……………………………………………………………
    No Telp : ……………………………………………………………

    Nama : ……………………………………………………………
    Nickname : ……………………………………………………………
    TTL : ……………………………………………………………
    3 Alamat : ……………………………………………………………
    Pekerjaan : ……………………………………………………………
    No Telp : ……………………………………………………………

    Nama : ……………………………………………………………
    4 Nickname : ……………………………………………………………
    TTL : ……………………………………………………………
    Panitia Pelaksana FireTech 2018
    UKM Neo Telemetri
    Gedung Pusat Kegiatan Mahasiswa (PKM) Lantai II, Universitas Andalas, Limau Manih,Padang,
    Sumatera Barat 25163
    Website : www.neotelemetri.com | Email: neotelemetri.unand@gmail.com | Phone: +858-3498-9196

    Alamat : ……………………………………………………………
    Pekerjaan : ……………………………………………………………
    No Telp : ……………………………………………………………

    Nama : ……………………………………………………………
    Nickname : ……………………………………………………………
    TTL : ……………………………………………………………
    5
    Alamat : ……………………………………………………………
    Pekerjaan : ……………………………………………………………
    No Telp : ……………………………………………………………

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