Nama Lengkap FORMULIR PENDAFTARAN PARAMADINA SANDAL DESIGN CHALLENGE 2012 Alamat Kelas Nomor Telepon / Handphone E - mail Asal Sekolah Latar Belakang Ide / Konsep * Formulir dapat digandakan / diperbanyak ** Sertakan Fotocopy Kartu Pelajar / KTP : : : : : : :
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Nama Lengkap
FORMULIR PENDAFTARAN PARAMADINA SANDAL DESIGN CHALLENGE 2012
Alamat
Kelas
Nomor Telepon / Handphone E - mail
Asal Sekolah
Latar Belakang Ide / Konsep
* Formulir dapat digandakan / diperbanyak** Sertakan Fotocopy Kartu Pelajar / KTP
:
:
:
:
: :
:
Alas Kaki Tampak Bawah ( Out Sole )
Tali Sandal
Alas Kaki Tampak Atas ( In Sole )
Out Sole
In Sole
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