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Formulir Pendaftaran Online
HIKING RALLY CIRADYKA XXXII
AMBALAN CIUNG WANARA DAN DYAH PITALOKA
GUGUS DEPAN CIAMIS 01-031 – 01-032
PANGKALAN SMA NEGERI 1 CIAMIS
Sekretariat : Jalan Gunung Galuh Nomor 37 Telepon (0265) 771069 Ciamis 46211
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1. Nama Regu
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2. Asal Sekolah
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3. Alamat Sekolah
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4. Golongan
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PENGGALANG (PA)
PENGGALANG (PI)
PENEGAK (PA)
PENEGAK (PI)
5. Ketua Regu
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6. Anggota 1
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9. Anggota 4
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10. Contact Person + ID Line
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*Tuliskan Contact Person Ketua Regu. Contoh: 081220435035 (rolandmp)
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