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Dokumen ini adalah formulir pendaftaran peserta untuk program training berjudul 'Penanaman Etos dan Watak Sunda untuk Pembentukan Karakter'. Kegiatan akan berlangsung pada 2-3 November 2013 di Gunung Puntang, Bandung dengan biaya Rp 100.000 yang mencakup pelatihan, makan, penginapan, transportasi, syal, dan sertifikat.
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- 1. PAGUYUBAN SUNDA INSTITUT MANAJEMEN TELKOM Sekretariat Kampus Dayeuh Kolot Institut Manajemen Telkom Jl. Telekomunikasi no. 1 Dayeuh Kolot, Bandung Nama Lengkap Npm Jurusan / Kelas / Angkatan JenisKelamin Tempat/TanggalLahir Agama Alamat Penyakit ( Penyakit bawaan ) Hobby Motivasi No. Hp No. Telepon Orang Tua / Kerabat yang bisa dihubungi : : : : : : : : : : : : Dengan ini peserta setuju untuk mendaftarkan diri mengikuti program training diantaranya : Nama Kegiatan : Penanaman Etos dan Watak Sunda Untuk Pembentukan Karakter Hari / tanggal Pukul Tempat Biaya : Sabtu Minggu / 2 3 November 2013 : 05.30 WIB ( Sabtu, 2/11/13 ) 08.00 WIB ( Minggu, 3/11/13 ) : Gn. Puntang, Soreang, Bandung : Rp 100.000 Include ( Pelatihan, Makan, Penginapan, Transportasi, Syal dan Sertifikat ) TTD Peserta , .......................... ( Nama Lengkap )