Scholarship Donor Form
Formulir Donatur Beasiswa
Fullname / Nama Lengkap *
Your answer
Sex / Jenis Kelamin *
Address / Alamat *
Your answer
City / Kota *
Your answer
Zip Code/ Kode Pos *
Your answer
State/Province/Region *
Your answer
Country/Negara *
Your answer
Occupation/ Pekerjaan *
Your answer
Office Address / Alamat Kantor *
Your answer
Email *
Your answer
Phone Number *
Your answer
Donation Period / Periode Donasi *
Amount / Jumlah Donasi *
Your answer
Alocated to / Alokasi Beasiswa *
Would you like to be included on our email newsletter *
Start Donation *
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End Donation *
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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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