ISLAMIC UNIVERSITY OF MALANG

STUDENT REPUBLIC GOVERNOR

STUDENT GOVERNOR
ENGLISH STUDENT ASSOCIATION
2013-2014

REGISTRATION FORM
(Essay Writing Competition)
3x4
(Insert your
picture here)

Name

: _________________________________________________

Place and Date of Birth

: ______________, __________________________________

Address

: _________________________________________________

Sex

: _________________________________________________

Semester

: _________________________________________________

Major

: _________________________________________________

Faculty

: _________________________________________________

University

: _________________________________________________

Phone Number

: _________________________________________________

E-mail Address

: _________________________________________________

Round

: Round 1 / Round 2

(Delete One)

.,..2014

o Send this registration form with format Doc. (Ms. Word) through our email essaynef2014@yahoo.com
o Attach your picture, your scanned Student ID Card, and thescannedreceipt of your registration from the bank.

ISLAMIC UNIVERSITY OF MALANG

STUDENT REPUBLIC GOVERNOR
STUDENT GOVERNOR
ENGLISH STUDENT ASSOCIATION
2013-2014

REGISTRATION FORM
(News Anchor Competition)
3x4

Name

: _________________________________________________

Place and Date of Birth

: ______________, __________________________________

Address

: _________________________________________________

Sex

: _________________________________________________

Institution

: _________________________________________________

Phone Number

: _________________________________________________

E-mail Address

: _________________________________________________

..., .. 2014

o You can copy this form if it is necessary.

o This registration form can also be downloaded from www.nef2014.blogspot.com& sent with format Ms. Word
through our email esafkipunisma@yahoo.com(Attach your picture, your scanned Student ID Card, and
thescannedreceipt of your registration from the bank)

ISLAMIC UNIVERSITY OF MALANG

STUDENT REPUBLIC GOVERNOR
STUDENT GOVERNOR
ENGLISH STUDENT ASSOCIATION
2013-2014

REGISTRATION FORM
(English Olympiad)
3x4

Name

: _________________________________________________

Place and Date of Birth

: ______________, __________________________________

Address

: _________________________________________________

Sex

: _________________________________________________

Institution

: _________________________________________________

Phone Number

: _________________________________________________

E-mail Address

: _________________________________________________

Branch (Tick one)

Malang

Gersik

Bangkalan

Probilinggo

Sampang

Lumajang

Pamekasan

Jember

Sumenep

Banyuwangi

Jombang

Bali

Mojokerto

Pasuruan

..., .. 2014
o You can copy this form if it is necessary.

o This registration form can also be downloaded from www.nef2014.blogspot.com&sent with format Ms. Word
through our email esafkipunisma@yahoo.com (Attach your picture, your scanned Student ID Card, and
thescanned receipt of your registration from the bank)

ISLAMIC UNIVERSITY OF MALANG

STUDENT REPUBLIC GOVERNOR
STUDENT GOVERNOR
ENGLISH STUDENT ASSOCIATION
2013-2014

REGISTRATION FORM
(English Speech Competition)
3x4

Name

: _________________________________________________

Place and Date of Birth

: ______________, __________________________________

Address

: _________________________________________________

Sex

: _________________________________________________

Institution

: _________________________________________________

Phone Number

: _________________________________________________

E-mail Address

: _________________________________________________

..., .. 2014

o You can copy this form if it is necessary.

o This registration form can also be downloaded from www.nef2014.blogspot.com& sent with format Ms. Word

through our email esafkipunisma@yahoo.com(Attach your picture, your scanned Student ID Card, and
thescannedreceipt of your registration from the bank)

ISLAMIC UNIVERSITY OF MALANG

STUDENT REPUBLIC GOVERNOR
STUDENT GOVERNOR
ENGLISH STUDENT ASSOCIATION
2013-2014

REGISTRATION FORM OF DEBATERS

(English Debate Competition)
1. INSTITUTION

Institutions name

: _________________________________________

Institutions address : _________________________________________

Phone number

: _________________________________________

2. THE 1ST SPEAKER

Name

: _________________________________________

Place/date of birth

: ____________, ____________________________

Address

: _________________________________________

Phone number

: _________________________________________

3x4

3. THE 2nd SPEAKER

Name

: _________________________________________

Place/date of birth

: ____________, ____________________________

Address

: _________________________________________

Phone number

: _________________________________________

3x4

4. THE 3rd SPEAKER

Name

: _________________________________________

Place/date of birth

:____________, ____________________________

Address

: _________________________________________

Phone number

: _________________________________________

3x4

..., .. 2014
o You can copy this form if it is necessary.
o This registration form can also be downloaded from www.nef2014.blogspot.com& sent with format Ms. Word

through our email esafkipunisma@yahoo.com(Attach your picture, your scanned Student ID Card, and the
scanned receipt of your registration from the bank)