DAFTAR JADI MUSLIM INDONESIA
-----------------------------TULIS IDENTITAS ANDA SESUAI KTP ANDA----------------------------------------
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NAMA LENGKAP (TERMASUK GELAR) *
ALAMAT *
SE-LENGKAP-LENGKAPNYA
TEMPAT, TANGGAL LAHIR *
CONTOH, Metro, 25 juli 1985
ORMAS
(NU, MUHAMMADIYAH DLL) TIDAK WAJIB DI ISI
NO, HP *
KALIMAT PERSATUAN MUSLIM INDONESIA *
SILAHKAN BUAT NARASI SEMANIS MUNGKIN
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