Form Pendaftaran OLE 2016
REPUBLIK MAHASISWA
UNIVERSITAS ISLAM NEGERI MAULANA MALIK IBRAHIM MALANG
DEWAN EKSEKUTIF MAHASISWA FAKULTAS EKONOMI
PANITIA PELAKSANA OLIMPIADE EKONOMI
PERIODE 2016
Secretariat: Gedung Student Center Lt. 1, Jl. Gajayana No. 50 Malang 65144
Email : [email protected] Telp: +6285607706065
FORMULIR PENDAFTARAN
Nama Lengkap
: .................................................................................................................................
Tanggal Lahir
: .................................................................................................................................
Nama Sekolah
: .................................................................................................................................
Alamat Sekolah
: .................................................................................................................................
Contact Person
: .................................................................................................................................
Malang,....…........................2016
Panitia
Peserta
(.....................................................)
(......................................................)
……………………………………………………………………………......................... Potong disini
FORMULIR PENDAFTARAN
Nama Lengkap
: .................................................................................................................................
Tangal Lahir
: .................................................................................................................................
Nama Sekolah
: .................................................................................................................................
Alamat Sekolah
: .................................................................................................................................
Contact Person
: .................................................................................................................................
Malang,....….......................2016
Panitia
Pas Foto
Peserta
3x4
(.....................................................)
(Formulir bisa digandakan sesuai dengan kebutuhan)
(......................................................)
UNIVERSITAS ISLAM NEGERI MAULANA MALIK IBRAHIM MALANG
DEWAN EKSEKUTIF MAHASISWA FAKULTAS EKONOMI
PANITIA PELAKSANA OLIMPIADE EKONOMI
PERIODE 2016
Secretariat: Gedung Student Center Lt. 1, Jl. Gajayana No. 50 Malang 65144
Email : [email protected] Telp: +6285607706065
FORMULIR PENDAFTARAN
Nama Lengkap
: .................................................................................................................................
Tanggal Lahir
: .................................................................................................................................
Nama Sekolah
: .................................................................................................................................
Alamat Sekolah
: .................................................................................................................................
Contact Person
: .................................................................................................................................
Malang,....…........................2016
Panitia
Peserta
(.....................................................)
(......................................................)
……………………………………………………………………………......................... Potong disini
FORMULIR PENDAFTARAN
Nama Lengkap
: .................................................................................................................................
Tangal Lahir
: .................................................................................................................................
Nama Sekolah
: .................................................................................................................................
Alamat Sekolah
: .................................................................................................................................
Contact Person
: .................................................................................................................................
Malang,....….......................2016
Panitia
Pas Foto
Peserta
3x4
(.....................................................)
(Formulir bisa digandakan sesuai dengan kebutuhan)
(......................................................)