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".
: ce champ 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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