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Kenangan Masa Kecil
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Nama Lengkap
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Alamat
alamat domisili sekarang
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Tanggal Lahir
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Nomor Telepon (HP)
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Alamat Email
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Pekerjaan
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Siswa
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Sosial Media
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Akun sosial media seperti facebook / twitter / dll
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Alamat Blog / Web
jika memiliki Blog / Web
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Judul Naskah
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Deskripsikan Diri Anda
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Motto Hidup
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