The 12th Annual EChall 2012 Registration Form

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THE 12th ANNUAL ALSA ENGLISH CHALLENGE 2012
"Raise your standard through empowering your English skills!"
ALSA LC UNPAD, Universitas Padjadjaran, Jalan Dipatiukur No. 35, Bandung

FORMULIR PENDAFTARAN
The 12th Annual ALSA English Challenge 2012

Nama


:



Nomor Kontak

:
E-mail


:
Asal Sekolah / Universitas
:

Kompetisi yang dikuti*
:
* Debate




( Rp 450.000/team)
* Writing Contest



(Rp 250.000/individu)
* Speech




( Rp 250.000/individu)
* Story Telling



( Rp 250.000/individu)
* Newscaster



( Rp 250.000/individu)
Bandung,




(untuk arsip panitia)
Nama


:



Nomor Kontak

:
E-mail


:
Asal Sekolah/ Universitas
:

Kompetisi yang dikuti*
:
* Debate




( Rp 450.000/team)
* Writing contest



(Rp 250.000/individu)
* Speech




( Rp 200.000/individu)
* Story Telling



( Rp 200.000/individu)
* Newscaster



( Rp 200.000/individu)

Bandung,










Contact Person
: Matheace Ramaputra (085711902592)



*tandai setiap kompetisi yang diikuti