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    Pendaftaran Riau

    Uploaded by

    Tiara Helmalia Putri

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Pendaftaran Riau

    Uploaded by

    Tiara Helmalia Putri
    1 views6 pages

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    1 views6 pages

    Pendaftaran Riau

    Uploaded by

    Tiara Helmalia Putri

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    You are on page 1of 6

    FORM PENDAFTARAN

    Form Pendaftaran + Bukti Transfer Mohon dikirim via email ke : register.kejurnas.menembak@gmail.com | Sebelum 29 -4 - 2023 pukul 23.59
    Bukti Pengiriman pada colom terakhir harap di isi untuk memudahkan Validasi pembayaran

    Data Atlit Bukti Pembayaran

    Whatsapp Birth Day Nama Waktu


    No Name Pengprov Total Biaya
    Number (MM-DD-YYYY) Bank pengiriman

    1 Totok Trimartanto Riau 081294055572. 28-03-1977


    2 Aditya Farel Riau 08889616755. 31-03-2006
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    TOTAL

    Event Biaya Peserta Total Biaya


    Individu Rp200.000
    Team Rp300.000
    TOTAL

    NOTE : PEMBAYARAN DITANGGUNG PENGURUS PENGPROV RIAU (MENYUSUL)


    10m Men 10m Women

    10m Air Rifle 10m Air Rifle 10m Air Pistol 10m Air Pistol 10m Air Rifle 10m Air Rifle 10m Air Pistol 10m Air Pistol
    Men Men Youth Men Men Youth Women Women Youth Women Women Youth

    Ind Team Ind Team Ind Team Ind Team Ind Team Ind Team Ind Team Ind Team
    v
    v
    0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0
    10m Mixed Event 10m Running Target 25m Event 50m Event
    10m Air 10m Air Running Running
    Running Running
    Rifle Pistol Target Target Sport 3 Position 3 Position 50m Pistol
    Target Mixed Target Mixed Rafid Fire Pistol
    Mixed Mixed Standard Standard Pistol Men Women Men
    Men Women
    Team Team Men Women
    Team Team Ind Ind Ind Ind Ind Team Ind Ind Ind Ind
    v v v
    v v
    0 0 0 0 0 0 2 2 0 0 0 1

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