_™-[-A-]yodance_[-G-]rup-™_
Daftar Isi~
<br /><br /><br /><br /><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /><div class="ss-form-heading"><br /><h1 class="ss-form-title"><br /> <span style="color:red;"><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /> ~Audition Grup Data~ <br /><br /><div class="ss-form-desc ss-no-ignore-whitespace"><br /><span style="color:red;"> <span style="font-size:x-small;">Auditi GpData~ </span></span></div><br /><div class="ss-required-asterisk"><br /><span style=" ;font-size:x-small;color:red;">* Wajib</span></div><br /></div><br /></span></h1><br /></div><br /><div class="ss-form"><br /><form action="https://docs.google.com/spreadsheet/formResponse?formkey=dElRY3pueFpBWkVob19kYlVYeHZZUXc6MQ&embedded=true&ifq" id="ss-form" method="POST"><br /><div class="errorbox-good"><br /><div class="ss-item ss-item-required ss-text"><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-title" for="entry_1"></label></span><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /><span style="color:red;">Nick<br /><span class="ss-required-asterisk">*</span></span></div><br /></div><br /><div class="ss-form-entry"><br /><span style="color:red;"> <label class="ss-q-help" for="entry_1"></label><br /><input class="ss-q-short" id="entry_1" name="entry.1.single" type="text" value="" /></span></div><br /></div><br /></div><br /><span style="color:red;"><br /></span> <br /><br /><div class="errorbox-good"><br /><div class="ss-item ss-item-required ss-text"><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-title" for="entry_16"></label></span><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /><span style="color:red;">Nama Lengkap<br /><span class="ss-required-asterisk">*</span></span></div><br /></div><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-help" for="entry_16"></label><br /><input class="ss-q-short" id="entry_16" name="entry.16.single" type="text" value="" /></span></div><br /></div><br /></div><br /><span style="color:red;"><br /></span> <br /><br /><div class="errorbox-good"><br /><div class="ss-item ss-item-required ss-text"><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-title" for="entry_14"></label></span><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /><span style="color:red;">Club<br /><span class="ss-required-asterisk">*</span></span></div><br /></div><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-help" for="entry_14"></label><br /><input class="ss-q-short" id="entry_14" name="entry.14.single" type="text" value="" /></span></div><br /></div><br /></div><br /><span style="color:red;"><br /></span> <br /><br /><div class="errorbox-good"><br /><div class="ss-item ss-item-required ss-text"><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-title" for="entry_12"></label></span><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /><span style="color:red;">TTL<br /><span class="ss-required-asterisk">*</span></span></div><br /></div><br /><div class="ss-form-entry"><br /><span style="color:red;"> <label class="ss-q-help" for="entry_12"></label><br /><input class="ss-q-short" id="entry_12" name="entry.12.single" type="text" value="" /></span></div><br /></div><br /></div><br /><span style="color:red;"><br /></span> <br /><br /><div class="errorbox-good"><br /><div class="ss-item ss-item-required ss-paragraph-text"><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-title" for="entry_22"></label></span><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /><span style="color:red;">Alamat<br /><span class="ss-required-asterisk">*</span></span></div><br /><span style="color:red;"><br /><label class="ss-q-help" for="entry_22">Jln</label><br /><textarea class="ss-q-long" cols="75" id="entry_22" name="entry.22.single" rows="8"></textarea></span></div><br /></div><br /></div><br /><span style="color:red;"><br /></span> <br /><br /><div class="errorbox-good"><br /><div class="ss-item ss-item-required ss-checkbox"><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-title" for="entry_18"></label></span><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /><span style="color:red;">Jenis Kelamin<br /><span class="ss-required-asterisk">*</span></span></div><br /><span style="color:red;"><br /><label class="ss-q-help" for="entry_18"></label></span><br /><br /><br /><ul class="ss-choices"><br /><li class="ss-choice-item"><span style="color:red;"><label class="ss-choice-label"><input class="ss-q-checkbox" id="group_18_1" name="entry.18.group" type="checkbox" value="Pria" /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br />Pria</div><br /></label></span></li><br /><li class="ss-choice-item"><span style="color:red;"><label class="ss-choice-label"><input class="ss-q-checkbox" id="group_18_2" name="entry.18.group" type="checkbox" value="Wanita" /><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br />Wanita</div><br /></label></span></li><br /></ul><br /></div><br /></div><br /></div><br /><span style="color:red;"><br /></span> <br /><br /><div class="errorbox-good"><br /><div class="ss-item ss-item-required ss-text"><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-title" for="entry_8"></label></span><br /><br /><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /><span style="color:red;">No Hp<br /><span class="ss-required-asterisk">*</span></span></div><br /></div><br /><div class="ss-form-entry"><br /><span style="color:red;"> <br /><label class="ss-q-help" for="entry_8"></label><br /><input class="ss-q-short" id="entry_8" name="entry.8.single" type="text" value="" /></span></div><br /></div><br /></div><br /><span style="color:red;"><br /></span> <br /><br /><div class="errorbox-good"><br /><div class="ss-item ss-item-required ss-text"><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-title" for="entry_6"></label></span><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /><span style="color:red;">Email FB<br /><span class="ss-required-asterisk">*</span></span></div><br /></div><br /><div class="ss-form-entry"><br /><span style="color:red;"></span></div><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-help" for="entry_6"></label><br /><input class="ss-q-short" id="entry_6" name="entry.6.single" type="text" value="" /></span></div><br /></div><br /></div><br /><span style="color:red;"><br /></span> <br /><br /><div class="errorbox-good"><br /><div class="ss-item ss-item-required ss-text"><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-title" for="entry_4"></label></span><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /><span style="color:red;">Nama FB<br /><span class="ss-required-asterisk">*</span></span></div><br /></div><br /><div class="ss-form-entry"><br /><span style="color:red;"> <label class="ss-q-help" for="entry_4"></label><br /><input class="ss-q-short" id="entry_4" name="entry.4.single" type="text" value="" /></span></div><br /></div><br /></div><br /><span style="color:red;"><br /></span> <br /><br /><div class="errorbox-good"><br /><div class="ss-item ss-item-required ss-text"><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-title" for="entry_2"></label></span><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /><span style="color:red;">Hobby<br /><span class="ss-required-asterisk">*</span></span></div><br /></div><br /></div><br /><div class="ss-form-entry"><br /><span style="color:red;"> <label class="ss-q-help" for="entry_2"></label><br /><input class="ss-q-short" id="entry_2" name="entry.2.single" type="text" value="" /></span></div><br /></div><br /></form><br /></div><br /><span style="color:red;"><br /></span> <br /><br /><div class="errorbox-good"><br /><div class="ss-item ss-item-required ss-text"><br /><div class="ss-form-entry"><br /><span style="color:red;"><label class="ss-q-title" for="entry_19"></label></span><br /><br /><div style="background: #020101; border: 3px dotted #6cff7c; margin: 1px; padding: 4px;"><br /><span style="color:red;">Twitter<br /><span class="ss-required-asterisk">*</span></span></div><br /></div><br /><div class="ss-form-entry"><br /><span style="color:red;"> <label class="ss-q-help" for="entry_19"></label><br /><input class="ss-q-short" id="entry_19" name="entry.19.single" type="text" value="" /></span></div><br /></div><br /></div><br /><span style="color:red;"><br /></span><br /><br /><br /><br /><br /><br /><br /><div class="ss-item ss-navigate"><br /><div class="ss-form-entry"><br /></div><br /></div><br /></div><br /><span style="color:red;"><span class="ss-terms"></span></span>
Rabu, 31 Oktober 2012
BUDI DOREMI
dinarcool.blogspot.com
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