Formulaire .pdf

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Author: ABDALI

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ECOLE MOHAMMEDIA D’INGENIEURS
CLUB EMICATRONIC

Compétition nationale de la robotique 2012
Formulaire de participation

Nom de l’équipe (1) : ………………………………………………….
Membres de l’équipe(2) : …………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
Institut (s) : ……………………………………………………………......
Téléphone (3) :…………………………………………........................
Email (3):…………………………………………………………………..

(1)
(2)
(3)

: dans le cas d’un particulier, indiquer "particulier".
: cette champs a pour but logistique (nourriture & résidence) veuillez
l’indiquer précisément.
: champ obligatoire à remplir par les coordonnées d’un membre de
l’équipe.

Avenue Ibn Sina – B.P.: 765 – Agdal – Rabat – Maroc
Tél: L.G. 05 37 68 71 50 Fax: 05 37 77 88 53
Web: www.emi.ac.ma


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