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Pendataan Jemaat
PENDATAAN JEMAAT ABBALOVE INDUSTRI
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Nama lengkap
*
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Nama panggilan
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Peran dalam keluarga
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Suami
Istri
Anak
Other:
Tahun Bergabung di Abbalove
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Tempat lahir
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Tanggal Lahir
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MM
/
DD
/
YYYY
Jenis Kelamin
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Pria
Wanita
Golongan Darah
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A
B
AB
O
Tidak Tahu
Status Pernikahan
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Menikah
Belum Menikah
Janda
Duda
Alamat Lengkap
*
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Kelurahan
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Kecamatan
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Kode Pos
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Propinsi
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Negara
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Telpon Rumah
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Nomor Handphone (Utama)
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Nomor Handphone (Tambahan)
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E-Mail
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