Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 58 views

    Registration Form 2014

    Uploaded by

    Raffi Mengukir Sejarah
    1. SMAN 5 Jember high school is registering two debate teams consisting of 4 students total to participate in the Asian Law Students' Association Courtlike Debate Championship 2014 being held in Surabaya, Indonesia. 2. The registration form collects information on each participating student such as their name, class, and English proficiency as approved by their English teacher. 3. Payments of Rp. 150,000 per team can be made either via direct payment at the University or bank transfer, with notification required after transfer.

    Copyright:

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

    Registration Form 2014

    Uploaded by

    Raffi Mengukir Sejarah
    58 views12 pages
    1. SMAN 5 Jember high school is registering two debate teams consisting of 4 students total to participate in the Asian Law Students' Association Courtlike Debate Championship 2014 being held in Surabaya, Indonesia. 2. The registration form collects information on each participating student such as their name, class, and English proficiency as approved by their English teacher. 3. Payments of Rp. 150,000 per team can be made either via direct payment at the University or bank transfer, with notification required after transfer.

    Original Description:

    form pengisian formulir pendaftaran seven 2014

    Copyright

    © © All Rights Reserved

    Available Formats

    RTF, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1. SMAN 5 Jember high school is registering two debate teams consisting of 4 students total to participate in the Asian Law Students' Association Courtlike Debate Championship 2014 being held in Surabaya, Indonesia. 2. The registration form collects information on each participating student such as their name, class, and English proficiency as approved by their English teacher. 3. Payments of Rp. 150,000 per team can be made either via direct payment at the University or bank transfer, with notification required after transfer.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    58 views12 pages

    Registration Form 2014

    Uploaded by

    Raffi Mengukir Sejarah
    1. SMAN 5 Jember high school is registering two debate teams consisting of 4 students total to participate in the Asian Law Students' Association Courtlike Debate Championship 2014 being held in Surabaya, Indonesia. 2. The registration form collects information on each participating student such as their name, class, and English proficiency as approved by their English teacher. 3. Payments of Rp. 150,000 per team can be made either via direct payment at the University or bank transfer, with notification required after transfer.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    of 12

    ASIAN LAW STUDENTS ASSOCIATION

    COURTLIKE DEBATE CHAMPIONSHIP 2014


    Asian Law Students Association Local Chapter Universitas
    Airlangga Jalan Dharmawangsa Dalam Selatan, Surabaya
    60286 Indonesia e-mail : acdclcunair2014@gmail.com

    REGISTRATION FORM
    TEAM INFORMATION
    1. High School Origin

    : SMAN 5 Jember

    2.

    High Schools Address

    : Jln. Semangka No. 4 Patrang Jember

    3.

    High Schools Contact

    4.

    Telephone

    : (0331) 422136

    Email

    : smalajember@gmail.com

    Number of Team to be
    Sent

    : a. 1 team b. 2 team

    TEAM MEMBERS INFORMATION (TEAM 1)


    1st CHAIR

    Name : M. LUTHFI FAKHRUDDIN


    Class

    3x4

    : X MS 1

    I have attached my English performances letter of approval

    [write again]
    .......................................................................................................
    .......................................................................................................

    2nd CHAIR

    Name : PRISYLIA INTAN PERMATA SARI


    Class : X MS 1

    I have attached my English performances letter of approval

    3x4

    [write again]
    ......................................................................................................
    ......................................................................................................

    The One and Only Law Debate Concept for High School in Indonesia

    ASIAN LAW STUDENTS


    ASSOCIATION COURTLIKE
    DEBATE CHAMPIONSHIP 2014
    Asian Law Students Association Local
    Chapter Universitas Airlangga Jalan
    Dharmawangsa Dalam Selatan, Surabaya
    60286 Indonesia e-mail :
    acdclcunair2014@gmail.com

    TEAM MEMBERS INFORMATION (TEAM 2)


    1st
    CH
    AI
    R

    Name : ADITYA PUTRA


    RIANDIONO
    Class

    : X MS 1

    I have attached my English


    performances letter of approval

    3x4

    [write again]
    ............................................................
    ...........................................
    ............................................................
    ...........................................

    2nd
    CH
    AI
    R

    Name : YOANA ALEXANDRA


    RACHMAN
    Class : X SOS 1

    I have attached my English


    performances letter of approval

    3x4

    [write again]
    ...........................................................
    ...........................................
    ...........................................................
    ...........................................

    The One and Only Law Debate Concept for High School in
    Indonesia

    ASIAN LAW STUDENTS


    ASSOCIATION COURTLIKE
    DEBATE CHAMPIONSHIP 2014
    Asian Law Students Association Local
    Chapter Universitas Airlangga Jalan
    Dharmawangsa Dalam Selatan, Surabaya
    60286 Indonesia e-mail :
    acdclcunair2014@gmail.com

    TEAM ADVISOR INFORMATION


    Name

    : ROFIQ HIDAYAT, S.Pd.I

    Profession

    Contacts

    TEACHER OF SMAN 5 JEMBER


    MBER

    Phone

    : ....................................................................
    ....................

    085 258 101040

    : ....................................................................
    ....................

    Elishaqy@yahoo.com

    4x6

    Email
    Address

    : ....................................................................
    ....................

    PAYMENT METHOD
    Team Registration
    Fee

    : Rp.
    150.000,00/team

    Team to be Sent
    Total
    Payment

    : a. 1 team
    : a. Rp.
    150.000,00

    Payment Method

    b. 2 team
    b. Rp. 300.000,00

    a. Direct Payment
    Please visit Faculty of Law Airlangga University and please to
    notify our crew, Vixki Intan (082131184380) before you visit.
    Well always be at your service, whenever you notify to make an
    appointment.
    b. Transfer
    Registration fee payment can be done by transferring to the commites
    account
    Bank

    : BCA

    Account No.

    : 3880535268

    Name

    : Wardina Mumtazah

    Or
    Bank

    : Mandiri

    Account No.

    : 9000021902565

    Name

    : Wardina Mumtazah

    The One and Only Law Debate Concept for High School in Indonesia

    ASIAN LAW STUDENTS ASSOCIATION


    COURTLIKE DEBATE CHAMPIONSHIP 2014
    Asian Law Students Association Local Chapter Universitas
    Airlangga
    Jalan Dharmawangsa Dalam Selatan, Surabaya 60286
    Indonesia e-mail : acdclcunair2014@gmail.com

    Please notify our crew Vixki Intan when you have done transferring process, and also
    please make 2 copies of your transfer receipts and attached it with this registration form.

    The One and Only Law Debate Concept for High School in Indonesia

    ASIAN LAW
    STUDENTS
    ASSOCIATION
    COURTLIKE
    DEBATE
    CHAMPIONSHIP
    2014
    Asian Law Students
    Association Local
    Chapter Universitas
    Airlangga Jalan
    Dharmawangsa Dalam
    Selatan, Surabaya
    60286 Indonesia e-mail
    :
    acdclcunair2014@gma
    il.com

    TEAM 1
    1st Chair
    Letter of Approval of English Performance [filled and
    signed by English teacher]
    I hereby approved that my student,
    Name : M. LUTHFI FAKHRUDDIN
    Class

    : X MS 1

    Has been an active student in my English class, and has attained


    the score of..........for English

    subject, in his / her latest report card.


    Jem
    ber,
    23rd
    of
    Jan
    uary
    201
    4

    2nd Chair
    Letter of Approval of English Performance [filled and signed by English
    teacher]
    I hereby approved that my student,
    Nam
    e
    Clas
    s
    Has been an active student in my English class, and has attained the score
    of..........
    : ....... ... ......... ... ......... ..
    ......... ... ......... ... ......... ..
    .. .

    : ....... ... ......... ... ......... ..


    ......... ... ......... ... ......... ..
    .. .

    for
    English

    subject, in his / her latest report card.


    Jember, 23rd of January 2014

    [
    ]

    The One and Only Law Debate Concept for High School in Indonesia

    ASIAN LAW STUDENTS


    ASSOCIATION COURTLIKE
    DEBATE CHAMPIONSHIP 2014
    Asian Law Students Association Local
    Chapter Universitas Airlangga Jalan
    Dharmawangsa Dalam Selatan, Surabaya
    60286 Indonesia e-mail :
    acdclcunair2014@gmail.com

    TEAM 2
    1st Chair
    Letter of Approval of English Performance [filled and signed by English
    teacher]
    I hereby approved that my student,
    Na
    : ......................................................................
    me
    .
    Clas : ......................................................................
    s
    .
    Has been an active student in my English class, and has attained the score
    of..........

    for
    English

    subject, in his / her latest report card.


    Jember, 23rd of January 2014

    2nd Chair
    Letter of Approval of English Performance [filled and signed by English
    teacher]
    I hereby approved that my student,
    Nam
    e
    Clas
    s
    Has been an active student in my English class, and has attained the score
    of..........
    : ....... ... ......... ... ......... ..
    ......... ... ......... ... ......... ..
    .. .

    : ....... ... ......... ... ......... ..


    ......... ... ......... ... ......... ..
    .. .

    for
    English

    subject, in his / her latest report card.


    Jember, 23rd of January 2014

    [
    ]

    The One and Only Law Debate Concept for High School in Indonesia

    ASIAN LAW STUDENTS


    ASSOCIATION COURTLIKE
    DEBATE CHAMPIONSHIP 2014
    Asian Law Students Association Local
    Chapter Universitas Airlangga Jalan
    Dharmawangsa Dalam Selatan, Surabaya
    60286 Indonesia e-mail :
    acdclcunair2014@gmail.com

    Required Attachments:
    1. Registration Form
    2. Receipt of Payment
    3. Photo 3x4
    4. Copy of Academic Report Card
    5. Copy of Student Identity Card

    The One and Only Law Debate Concept for High School in Indonesia

    You might also like