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Pendataan Jemaat
PENDATAAN JEMAAT ABBALOVE INDUSTRI
Nama lengkap *
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Nama panggilan *
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Peran dalam keluarga *
Tahun Bergabung di Abbalove
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Tempat lahir *
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Tanggal Lahir *
MM
/
DD
/
YYYY
Jenis Kelamin *
Golongan Darah *
Status Pernikahan *
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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