FORMULIR PENDAFTARAN
FUTSAL STKIP PGRI PONTIANAK CUP
Nama team :__________________________________________________
Manager / official team : 1.________________________________________________
2.________________________________________________
| 3x4 | 3x4 |
1 2
Contact person :__________________________________________________
Daftar Pemain
| No | Photo | Nama pemain | Posisi | No Punggung |
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| 2 | 3x4 | ...................................... | ......................... | .... |
| 3 | 3x4 | ...................................... | ......................... | .... |
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| 9 | 3x4 | ......................................... | .......................... | .... |
| 10 | 3x4 | ........................................ | .......................... | .... |
Mengetahui, Pontianak, Oktober 2012
Panitia Manager / official
(_............................._) (......................................)
Contact person :
Muhammad Zaen :
Bambang Wahyudi :
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