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  • Form Registrasi - Pocari Sweat Run Solo 2020

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    lpk mgp
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    This document contains registration information for an athlete named Budi Ramdani including their name, email, gender, date of birth, identification number, mobile number, address, city, nationality, country of residence, running club, emergency contact name and mobile number, medical conditions, t-shirt size order, and options for a customized message on the shirt.

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    daftar lomba

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    This document contains registration information for an athlete named Budi Ramdani including their name, email, gender, date of birth, identification number, mobile number, address, city, nationality, country of residence, running club, emergency contact name and mobile number, medical conditions, t-shirt size order, and options for a customized message on the shirt.

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    © All Rights Reserved
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    3 views5 pages

    Form Registrasi - Pocari Sweat Run Solo 2020

    Uploaded by

    lpk mgp
    This document contains registration information for an athlete named Budi Ramdani including their name, email, gender, date of birth, identification number, mobile number, address, city, nationality, country of residence, running club, emergency contact name and mobile number, medical conditions, t-shirt size order, and options for a customized message on the shirt.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 5

    NO CATEGORY EMAIL FIRST NAME LAST NAME NAME ON BIB

    ramdanibudi612@gmail.com
    BUDI RAMDANI

    Note
    1 Name On BIB maximum 16 Character
    2 Name On Jersey maximum 8 Character (number & alphabet only)
    BDAY
    NAME ON JERSEY ID_NUMBER GENDER BLOOD
    (Bulan/Tanggal/Tahun)
    3,2111E+15 L O 7/17/87
    MOBILE_NUMBER ADDRESS CITY NATIONALITY COUNTRY_RESIDENCE

    81313506982 BBKN LIMUS RT. 001/011 INDONESIA INDONESIA


    RUNNING_CLUB EMERGENCY_NAME EMERGENCY_MOBILE MEDICAL_CONDITION

    LUKMAN 6,28132E+12
    CUSTOMIZED WORD (+HARGA Rp
    T_SHIRT SIZE 50.000). Maksimal 8 caractaer
    tanpa emoticon
    M

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