Registration Form

District Level Poetry Reading Competation

Year 2021

Registration Number : ..........................................................................................................

Name : ..........................................................................................................

Place and Date of Birth : ..........................................................................................................

Gender : Male / Female

School Name : ..........................................................................................................

Home Address : ..........................................................................................................

Phone Number : ..........................................................................................................

E-mail address : ..........................................................................................................

Poetry Theme : ..........................................................................................................

Registration Requirement : 1. Poetry written/typed on A4 paper

2. The content of the poetry is far from pornographic elements

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Participant

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*Contact Person : 0812-0912-2005