KURSUS DASAR NAVIGASI DARAT 23-26 Maret 2016, Kawasan Gunung Ciremai, Kuningan, Jawa barat

SURAT IZIN ORANG TUA / WALI

Saya yang bertanda tangan dibawah ini Nama

:

Adalah orang tua / wali dari calon peserta KURSUS NAVIGASI DARAT WANADRI dengan indentitias Nama

:

Jenis Kelamin : Umur

:

Mengizinkan anak saya mengikuti kegiatan KURSUS NAVIGASI DARAT WANADRI yang diadakan pada tanggal 23 – 26 Maret 2017 di kawasan Gunung Ciremai, Jawa Barat. Demikian surat izin ini saya buat dengan sungguh-sungguh dan penuh dengan rasa tanggung jawab.

………………………………………………….... Yang memberi izin, Ttd

(………………………………………………….)

Perhimpunan Penempuh Rimba dan Pendaki Gunung Wanadri Sekretariat : Jln. Aceh 155 Bandung, Jawa Barat 40114, Tlp 022-420-6440 Perwakilan Jakarta : GOR Soemantri Brodjonegoro, Jln. HR Rasuda Said Kav.C-22, Kuningan, Jakarta 12920 Tlp 021-527-8251 Contact Person : Aulia P. (085693028621) Saedatul F. (081809712686)

Surat Izin Ortu.pdf

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