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FORMULIR PENDAFTARAN
Pemilihan Dara & Daeng Makassar 2016
Pemerintah Kota Makassar bekerjasama dengan Celebes Enterprise & Andita Modelling
Formulir diisi dengan tinta hitam, diketik /tulis tangan dalam Bahasa Indonesia dan disertai dengan kelengkapan dokumen.
Nama Lengkap : .................................................................................................................
Nama Panggilan : .................................................................................................................
Jenis Kelamin : Laki-Laki Perempuan
Pendidikan / Pekerjaan : .................................................................................................................
Tempat & Tanggal Lahir : .................................................................................................................
Alamat Rumah : .................................................................................................................
Agama : .................................................................................................................
Tinggi/Berat Badan : ............cm / .............kg
LINE ID : .........................................................................................
No. Handphone : .........................................................................................
PIN BB : .........................................................................................
Twitter : .........................................................................................
Instagram : .........................................................................................
Website / Blog : .........................................................................................
Hobby Yang Dilakukan Untuk Mengisi Waktu Luang:
......................................................................................................................................................
Keahlian & Bakat Khusus:
......................................................................................................................................................
Seni Makassar Yang Dikuasai:
......................................................................................................................................................
Bahasa Yang Dikuasai (Tulis Aktif/Pasif):
......................................................................................................................................................
Prestasi Yang Pernah Diperoleh:
1. ................................................................................................................................... Tahun ..............................................
2. ................................................................................................................................... Tahun ..............................................
3. ................................................................................................................................... Tahun ..............................................
4. ................................................................................................................................... Tahun ..............................................
5. ................................................................................................................................... Tahun ..............................................
Pengalaman Organisasi:
1. ................................................................................................................................... Tahun ..............................................
2. ................................................................................................................................... Tahun ..............................................
3. ................................................................................................................................... Tahun ..............................................
4. ................................................................................................................................... Tahun ..............................................
5. ................................................................................................................................... Tahun ..............................................
Deskripsikan dirimu secara singkat, disertai oleh hobi, prestasi, serta pengalaman yang pernah kamu ikuti!
Apabila kamu terpilih menjadi Dara/Daeng Makassar 2016, apa yang akan kamu lakukan selama masa jabatan?
Dengan ini saya bertanggungjawab terhadap kebenaran isi formulir serta isi lampiran dokumen yang saya ajukan ini.
Makassar, 2016
(........................................................)
PERSYARATAN PESERTA PEMILIHAN DARA &
DAENG MAKASSAR 2016
1. Peserta adalah putra – putri asal Makassar
2. Putra Putri asal daerah lain yang telah
mejadi Warga Kota Makassar dan
berdomisili di Makassar
3. Berusia 17 - 25 tahun pada tahun dan
tanggal pelaksanaan.
4. Memiliki loyalitas yang tinggi terhadap nilai
– nilai budaya Kota Makassar
5. Memiliki tinggi badan minimal 155 bagi
wanita (Dara), 165 cm untuk Pria (Daeng)
6. Memiliki bakat atau keahlian dibidang seni
7. Tidak pernah terlibat kasus kenakalan
remaja, kejahatan dan narkoba
8. Berpenampilan menarik, ramah dan penuh
tanggungjawab
9. Sehat jasmani dan rohani serta belum
pernah menikah
(Berikan tanda ✓ pada kolom yang telah tersedia
untuk menyatakan bahwadokumen tersebut telah
dilampirkan bersama formulir ini)
 1 berkas Formulir Pendaftaran
 1 lembar Fotokopi KTP atau KTM
 Foto dengan mengenakan Pakaian Formal
masing-masing satu lembar dengan
ketentuan :
1. Close Up (Warna, ukuran 5R)
2. Seluruh Badan (Warna, ukuran 5R)
 Berkas dimasukkan ke dalam:
1. Map KUNING untuk calon Dara
2. Map MERAH untuk calon Daeng
JADWAL PEMILIHAN DARA & DAENG MAKASSAR 2016
Technical Meeting : Minggu, 27 Maret 2016 Pukul 15.00 WITA – selesai di PGM Karebosi Lantai 4
Test Wawancara : Minggu, 3 April 2016 Pukul 09.00 WITA – selesai di PGM Karebosi Lantai 4
Penampilan Bakat Seni : Minggu, 3 April 2016 Pukul 14.00 WITA – selesai di PGM Karebosi Lantai 4
Grand Final : Rabu, 6 April 2016 Pukul 19.00 WITA – selesai di Rumah Walikota Makassar Jl. Amirullah
PAKAIAN PESERTA PADA SAAT MALAM GRAND FINAL
Dara :
- Baju Bodo Makingking Sutra dan Bebas Warna
- Sarung Corak La’ba atau Tangnga
Daeng :
- Jas Tutup Bebas Warna
- Sarung Corak Caddi atau Tangnga
Keterangan:
Batas Pengembalian Formulir sampai tanggal 3 April 2016 bertempat di Jalan Rappocini Raya Kompleks Perumahan
Citra Griyatama Blok C No 6 beserta uang pendaftaran sebesar RP 150.000,- (Seratus Lima Puluh Ribu Rupiah)
Info lebih lanjut:
Contact Person:
Ibu Wiwiek : 082187322195
H. Andi : 081343667347
Shady : 082293860222 - 085696201366
Line@ : @wxl0996b
LineID : dardamakassar
Instagram : dardamakassar

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Formulir Pendaftaran Dara Daeng Makassar 2016

  • 1. FORMULIR PENDAFTARAN Pemilihan Dara & Daeng Makassar 2016 Pemerintah Kota Makassar bekerjasama dengan Celebes Enterprise & Andita Modelling Formulir diisi dengan tinta hitam, diketik /tulis tangan dalam Bahasa Indonesia dan disertai dengan kelengkapan dokumen. Nama Lengkap : ................................................................................................................. Nama Panggilan : ................................................................................................................. Jenis Kelamin : Laki-Laki Perempuan Pendidikan / Pekerjaan : ................................................................................................................. Tempat & Tanggal Lahir : ................................................................................................................. Alamat Rumah : ................................................................................................................. Agama : ................................................................................................................. Tinggi/Berat Badan : ............cm / .............kg LINE ID : ......................................................................................... No. Handphone : ......................................................................................... PIN BB : ......................................................................................... Twitter : ......................................................................................... Instagram : ......................................................................................... Website / Blog : ......................................................................................... Hobby Yang Dilakukan Untuk Mengisi Waktu Luang: ...................................................................................................................................................... Keahlian & Bakat Khusus: ...................................................................................................................................................... Seni Makassar Yang Dikuasai: ...................................................................................................................................................... Bahasa Yang Dikuasai (Tulis Aktif/Pasif): ......................................................................................................................................................
  • 2. Prestasi Yang Pernah Diperoleh: 1. ................................................................................................................................... Tahun .............................................. 2. ................................................................................................................................... Tahun .............................................. 3. ................................................................................................................................... Tahun .............................................. 4. ................................................................................................................................... Tahun .............................................. 5. ................................................................................................................................... Tahun .............................................. Pengalaman Organisasi: 1. ................................................................................................................................... Tahun .............................................. 2. ................................................................................................................................... Tahun .............................................. 3. ................................................................................................................................... Tahun .............................................. 4. ................................................................................................................................... Tahun .............................................. 5. ................................................................................................................................... Tahun .............................................. Deskripsikan dirimu secara singkat, disertai oleh hobi, prestasi, serta pengalaman yang pernah kamu ikuti! Apabila kamu terpilih menjadi Dara/Daeng Makassar 2016, apa yang akan kamu lakukan selama masa jabatan? Dengan ini saya bertanggungjawab terhadap kebenaran isi formulir serta isi lampiran dokumen yang saya ajukan ini. Makassar, 2016 (........................................................)
  • 3. PERSYARATAN PESERTA PEMILIHAN DARA & DAENG MAKASSAR 2016 1. Peserta adalah putra – putri asal Makassar 2. Putra Putri asal daerah lain yang telah mejadi Warga Kota Makassar dan berdomisili di Makassar 3. Berusia 17 - 25 tahun pada tahun dan tanggal pelaksanaan. 4. Memiliki loyalitas yang tinggi terhadap nilai – nilai budaya Kota Makassar 5. Memiliki tinggi badan minimal 155 bagi wanita (Dara), 165 cm untuk Pria (Daeng) 6. Memiliki bakat atau keahlian dibidang seni 7. Tidak pernah terlibat kasus kenakalan remaja, kejahatan dan narkoba 8. Berpenampilan menarik, ramah dan penuh tanggungjawab 9. Sehat jasmani dan rohani serta belum pernah menikah (Berikan tanda ✓ pada kolom yang telah tersedia untuk menyatakan bahwadokumen tersebut telah dilampirkan bersama formulir ini)  1 berkas Formulir Pendaftaran  1 lembar Fotokopi KTP atau KTM  Foto dengan mengenakan Pakaian Formal masing-masing satu lembar dengan ketentuan : 1. Close Up (Warna, ukuran 5R) 2. Seluruh Badan (Warna, ukuran 5R)  Berkas dimasukkan ke dalam: 1. Map KUNING untuk calon Dara 2. Map MERAH untuk calon Daeng JADWAL PEMILIHAN DARA & DAENG MAKASSAR 2016 Technical Meeting : Minggu, 27 Maret 2016 Pukul 15.00 WITA – selesai di PGM Karebosi Lantai 4 Test Wawancara : Minggu, 3 April 2016 Pukul 09.00 WITA – selesai di PGM Karebosi Lantai 4 Penampilan Bakat Seni : Minggu, 3 April 2016 Pukul 14.00 WITA – selesai di PGM Karebosi Lantai 4 Grand Final : Rabu, 6 April 2016 Pukul 19.00 WITA – selesai di Rumah Walikota Makassar Jl. Amirullah PAKAIAN PESERTA PADA SAAT MALAM GRAND FINAL Dara : - Baju Bodo Makingking Sutra dan Bebas Warna - Sarung Corak La’ba atau Tangnga Daeng : - Jas Tutup Bebas Warna - Sarung Corak Caddi atau Tangnga Keterangan: Batas Pengembalian Formulir sampai tanggal 3 April 2016 bertempat di Jalan Rappocini Raya Kompleks Perumahan Citra Griyatama Blok C No 6 beserta uang pendaftaran sebesar RP 150.000,- (Seratus Lima Puluh Ribu Rupiah) Info lebih lanjut: Contact Person: Ibu Wiwiek : 082187322195 H. Andi : 081343667347 Shady : 082293860222 - 085696201366 Line@ : @wxl0996b LineID : dardamakassar Instagram : dardamakassar