…………………………………… …………………………………… …………………………………… NAMA PESERTA N I S N ASAL SMA/MA/SMK ……………………………………
Posisi Foto: Portrait atau Landscape Judul Foto Utama 1: ………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………………………………
Posisi Foto: Portrait atau Landscape Judul Foto Utama 2: ………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………………………………
Posisi Foto: Portrait atau Landscape Judul Foto Utama 3: ………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………………………………
Judul Cerita: ………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………...
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Posisi Foto: Portrait atau Landscape FOTO BEBAS 1 Posisi Foto: Portrait atau Landscape Judul Foto Bebas 1: ………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………………………………
Posisi Foto: Portrait atau Landscape FOTO BEBAS 2 Posisi Foto: Portrait atau Landscape Judul Foto Bebas 2: ………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………………………………
BORANG ISIAN PENJELASAN KARYA, RAIHAN PRESTASI, DAN PERNYATAAN PESERTA HASIL PINDAI / SCAN BORANG ISIAN PENJELASAN KARYA, RAIHAN PRESTASI, DAN PERNYATAAN PESERTA
HASIL PINDAI (SCAN) / FOTO BUKTI RAIHAN PRESTASI