Formulir

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FORMULIR PENDAFTARAN Saya yang bertanda tangan dibawah ini : Nama Lengkap

:………………………………..

Jenis Kelamin

:………………………………..

Tempat/Tanggal Lahir

:………………………………..

Pendidikan

:………………………………..

Nama Orang Tua/Wali

:……………………………….

Alamat

:……………………………….. :………………………………… :…………………………………

No Tlp/HP

:…………………………………

Dengan ini mendaftarkan diri untuk mengikuti casting sinetron “Di Pekanbaru Ada Cinta”. Kreteria fungsi karakter yang diinginkan : 1. Protagonis 2. Antagonis 3. Deutragonis 4. Foil 5. Tritagonis 6. Utility Demikianlah untuk dapat dimaklumi. Syarat-syarat pendaftaran :

Pekanbaru,…,……2009

1.Pas Photo Warna 4 x 6

2 Lembar

2.Photo Clouse Up

1 Lembar

3.Foto Copy KTP

1 Lembar

4.Mengisi Formulir Pendaftaran

Pemohon

(

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