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    (첨부3) 2018 KGSP-U 모집요강 (Application Guidelines via Korean Embassies)

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    nosef824
    This document contains a registration form for a university debate competition in Indonesia. It includes sections for [1] the university to declare their participation and list their debate team members, [2] biographical information and photos of each team member, [3] biographical information for an official/advisor, and [4] a statement ensuring the participants will not withdraw from the competition if their team advances.

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    (첨부3) 2018 KGSP-U 모집요강 (Application Guidelines via Korean Embassies)

    Uploaded by

    nosef824
    15 views6 pages
    This document contains a registration form for a university debate competition in Indonesia. It includes sections for [1] the university to declare their participation and list their debate team members, [2] biographical information and photos of each team member, [3] biographical information for an official/advisor, and [4] a statement ensuring the participants will not withdraw from the competition if their team advances.

    Original Description:

    %5B첨부3%5D2018 KGSP-U 모집요강%28Application Guidelines via Korean Embassies%29

    Original Title

    %5B첨부3%5D2018 KGSP-U 모집요강%28Application Guidelines via Korean Embassies%29

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    © © All Rights Reserved

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    This document contains a registration form for a university debate competition in Indonesia. It includes sections for [1] the university to declare their participation and list their debate team members, [2] biographical information and photos of each team member, [3] biographical information for an official/advisor, and [4] a statement ensuring the participants will not withdraw from the competition if their team advances.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    15 views6 pages

    (첨부3) 2018 KGSP-U 모집요강 (Application Guidelines via Korean Embassies)

    Uploaded by

    nosef824
    This document contains a registration form for a university debate competition in Indonesia. It includes sections for [1] the university to declare their participation and list their debate team members, [2] biographical information and photos of each team member, [3] biographical information for an official/advisor, and [4] a statement ensuring the participants will not withdraw from the competition if their team advances.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 6

    Formulir Pendaftaran

    KOP SURAT

    FORMULIR PENDAFTARAN

    Yang bertanda tangan di bawah ini:

    Nama : …………………………………………………………………

    Jabatan : …………………………………………………………………

    Perguruan Tinggi : …………………………………………………………………

    …………………………………………………………………

    Alamat : …………………………………………………………………

    …………………………………………………………………

    Telepon/Faks. : …………………………………………………………………

    E-mail : …………………………………………………………………

    Menyatakan bahwa .........(nama universitas).............. bersedia berpartisipasi sebagai peserta


    Kompetisi Debat Konstitusi Mahasiswa Antar Perguruan Tinggi se-Indonesia Tahun 2017
    dengan susunan tim sebagaimana terlampir.

    …………………., ………………….. 2017


    Rektor/Pimpinan Institusi

    ttd/cap basah

    (………………………………..)

    0
    BIODATA PESERTA DAN PEMBIMBING/OFFICIAL

    1. PESERTA 1

    Nama : ..……………………………………………………………..

    NIM/Angkatan : ..……………………………………………………………..

    Tempat, Tgl Lahir : ..…………………………………………………………….. Foto 4 x 6


    Fakultas/Prodi : ………………………………/………………………………

    Alamat : ………………………………………………………………

    ………………………………………………………………

    Telepon/HP : ………………………………………………………………

    Email : ………………………………………………………………

    2. PESERTA 2

    Nama : ..……………………………………………………………..

    NIM/Angkatan : ..……………………………………………………………..

    Tempat, Tgl Lahir : ..…………………………………………………………….. Foto 4 x 6


    Fakultas /Prodi : ………………………………/………………………………

    Alamat : ………………………………………………………………

    ………………………………………………………………

    Telepon/HP : ………………………………………………………………

    Email : ………………………………………………………………

    3. PESERTA 3

    Nama : ..……………………………………………………………..

    NIM/Angkatan : ..……………………………………………………………..

    Tempat, Tgl Lahir : ..…………………………………………………………….. Foto 4 x 6


    Fakultas /Prodi : ………………………………/………………………………

    Alamat : ………………………………………………………………

    ………………………………………………………………

    Telepon/HP : ………………………………………………………………

    Email : ………………………………………………………………

    1
    4. PEMBIMBING/OFFICIAL

    Nama : .……………………………………………………………..

    Fakultas/Prodi : ………………………………………………………………

    Alamat : ………………………………………………………………

    ………………………………………………………………

    Telepon/HP : ………………………………………………………………

    Email : ………………………………………………………………

    ……………., …………….. 2017


    Rektor/Pimpinan Institusi

    ttd/cap basah

    (………………………………..)

    2
    Surat Pernyataan tidak akan
    mengundurkan diri
    KOP SURAT

    SURAT PERNYATAAN

    Yang bertanda tangan di bawah ini:

    Nama : …………………………………………………………………

    Jabatan : …………………………………………………………………

    Perguruan Tinggi : …………………………………………………………………

    …………………………………………………………………

    Alamat : …………………………………………………………………

    …………………………………………………………………

    Telepon/Faks. : …………………………………………………………………

    E-mail : …………………………………………………………………

    Menyatakan tidak akan mengundurkan diri sebagai peserta jika lolos Kompetisi Debat
    Konstitusi Mahasiswa Antar Perguruan Tinggi se-Indonesia Tahun 2017 pada tahap-tahap
    selanjutnya.

    Demikian surat pernyataan ini dibuat agar dapat digunakan sebagaimana mestinya.

    …………………., ………………….. 2017


    Rektor/Pimpinan Institusi

    ttd/cap basah/meterai

    (………………………………..)

    3
    Contoh Halaman Judul

    LOGO
    UNIVERSITAS

    (JUDUL ARTIKEL ILMIAH)

    (NAMA PESERTA)
    (NAMA PESERTA)
    (NAMA PESERTA)

    KOMPETISI DEBAT KONSTITUSI MAHASIS


    ANTAR PERGURUAN TINGGI SE-INDONESIA TAHUN 2017

    (NAMA UNIVERSITAS)
    (TEMPAT)
    (BULAN, TAHUN)

    4
    Contoh Lembar Orisinalitas

    LEMBAR ORISINALITAS ARTIKEL ILMIAH


    KOMPETISI DEBAT KONSTITUSI MAHASISWA
    ANTAR PERGURUAN TINGGI SE-INDONESIA
    TAHUN 2017

    Kami yang bertanda tangan di bawah ini:


    Nama :
    NIM :
    Asal Universitas :
    Alamat :
    Judul :

    Menyatakan bahwa artikel ilmiah yang kami sertakan dalam kegiatan Kompetisi Debat
    Konstitusi Mahasiswa Antar Perguruan Tinggi se-Indonesia Tahun 2017 yang
    diselenggarakan oleh Mahkamah Konstitusi adalah hasil karya kami sendiri, bukan jiplakan
    (plagiat) dari karya orang lain dan belum pernah diikutkan dalam segala bentuk perlombaan
    serta belum pernah dipublikasikan dimanapun.
    Apabila di kemudian hari terbukti bahwa artikel ilmiah kami tidak sesuai dengan
    pernyataan kami, maka secara otomatis karya ilmiah kami dianggap gugur.
    Demikian pernyataan ini kami buat dengan sebenarnya.

    …………….., ……………..2017
    Mengetahui Ketua Tim Debat

    ttd, cap basah ttd/meterai

    (Rektor/Pimpinan Institusi Pendidikan) (Nama)


    NIP. NIM

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