Blangko Pendaftaran Pelantikan Dan Izin Orang Tua.docx

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IKATAN REMAJA MESJID SMK IT PELITA SUBANA DARMA Alamat : Jln. Raya Kuningan-Ciamis. Desa Kawahmanuk Kec. Darma 45562 Kab. Kuningan

BLANGKO PENDAFTARAN PELANTIKAN DAN IZIN ORANG TUA Yang bertanda tangan di bawah ini, kami Nama Lengkap :.................................................................................... Alamat / Nomor Tlp :.................................................................................... Kelas :................................SMK IT PELITA SUBANA DARMA

Dengan ini kami bersedia membayar biaya Rp. 10.000,- dan mengikuti semua kegiatan serta mentaati peraturan yang telah ditentukan dalam ”Pelantikan Ikatan Remaja Mesjid” bertempat di SMK IT PELITA SUBANA DARMA.

Orangtua /Wali Murid

Peserta,

(Nama Jelas & Ttd)

(Nama Jelas & Ttd)

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