21 February 2013

FORMULIR PENDAFTARAN KULIAH KEPENULISAN II - FLP BANDUNG



FORMULIR PENDAFTARAN
KULIAH KEPENULISAN II - FLP BANDUNG

Nama lengkap                                         :.....................................................................................
Nama Pena                                             :.....................................................................................
Tempat Tanggal Lahir                              :.....................................................................................
No. Kontak                                            :.....................................................................................
Aktivitas sehari-hari                                :.....................................................................................
Alamat Tinggal                                        :.....................................................................................
                                                               ......................................................................................
Alamat Sekarang                                     :.....................................................................................
                                                               ......................................................................................
E-mail/ nama fb/ twitter                           :.....................................................................................
                                                               ......................................................................................
Motto Hidup                                          :.....................................................................................
                                                               ......................................................................................
Motivasi ikut FLP Bandung                    : ....................................................................................
                                                               ......................................................................................


Bandung, ........................................ 2013                   







Setelah form di atas diisi, kemudian kirim file dalam bentuk .doc ke: kk.flp.bandung@gmail.com dengan subjek: DAFTAR_KK II_NAMA (sampai tanggal 7 Maret 2013). Atau dapat dikumpulkan langsung saat Kamisan FLP Bandung, tanggal 28 Februari dan tanggal 7 Maret 2013. jam 16.00-18.00 WIB, di selasar Timur Masjid Salman ITB. Konfirmasi ke 083821299555 (Silvia F. Jasmine).
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3 comments:

  1. amar fasyniMarch 4, 2013 at 2:23 PM

    Formulirnya tidak bisa diunduh teh..
    amarfasyni.blogspot.com

    ReplyDelete
  2. UnknownMarch 6, 2013 at 6:14 PM

    salaam,,
    ini form di unduhnya di sebelah mana ya ??
    syukran

    ReplyDelete
  3. Ali MursyidMarch 10, 2013 at 9:53 AM

    di copy+paste aja gitu???

    ReplyDelete

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