Scholarship Donor Form
Formulir Donatur Beasiswa
Fullname / Nama Lengkap
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Sex / Jenis Kelamin
Address / Alamat
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City / Kota
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Zip Code/ Kode Pos
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State/Province/Region
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Country/Negara
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Occupation/ Pekerjaan
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Office Address / Alamat Kantor
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Email
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Phone Number
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Donation Period / Periode Donasi
Amount / Jumlah Donasi
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Alocated to / Alokasi Beasiswa
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Transfer / wire to:BCA (KCU Kali Malang) Yay Komunitas Sahabat Anak Jkt Acc. number: 230 35555 36
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