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PENDAFTARAN NIKAH ONLINE
PENDAFTARAN ONLINE MINIMAL 1 BULAN SEBELUM PERNIKAHAN
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HARI PERNIKAHAN
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TEMPAT PERNIKAHAN
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TANGGAL DAN JAM PERNIKAHAN
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DD
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YYYY
Time
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AM
PM
NAMA LENGKAP
CALON SUAMI
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TEMPAT LAHIR
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TANGGAL LAHIR
MM
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DD
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YYYY
ALAMAT
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PEKERJAAN
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WARGANEGARA
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AGAMA
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PENDIDIKAN TERAKHIR
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STATUS PERKAWINAN
JEJAKA
DUDA CERAI GUGAT
DUDA CERAI TALAK
DUDA CERAI MATI
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NAMA AYAH KANDUNG
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NAMA IBU KANDUNG
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NAMA LENGKAP
CALON ISTERI
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TEMPAT LAHIR
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TANGGAL LAHIR
MM
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DD
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YYYY
ALAMAT
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PEKERJAAN
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WARGANEGARA
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AGAMA
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PENDIDIKAN TERAKHIR
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STATUS PERKAWINAN
PERAWAN
JANDA CERAI GUGAT
JANDA CERAI TALAK
JANDA CERAI MATI
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NAMA AYAH KANDUNG
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NAMA IBU KANDUNG
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NOMOR TELEPON
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ALAMAT EMAIL
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