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Formulir Pendaftaran Rekomendasi Pindah Nikah
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Nama Yang Berkepentingan
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NIK
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Tempat Lahir
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Tanggal Lahir
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Bin/Binti
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Jenis Kelamin
Pria
Wanita
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Kebangsaan
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Agama
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Pendidikan Terakhir
SD/MI
SMP/MTS
SMA/MA
S1/S2/S3
TIDAK ADA
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Pekerjaan
PNS
POLRI
TNI
TANI
WIRASWASTA
URT
TIDAK ADA
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Status
Jejaka
Perawan
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Beristeri
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Asal Desa
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Pakuli Utara
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Tuva
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Nomor Surat dari Pemerintah Desa
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Nama Calon Suami/Isteri
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NIK
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Tempat Lahir
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Tanggal Lahir
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Bin/Binti
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Pendidikan Terakhir
SD/MI
SMP/MTS
SMA/MA
S1/S2/S3
TIDAK ADA
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Pekerjaan
PNS
POLRI
TNI
TANI
WIRASWASTA
TIDAK ADA
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Status
Jejaka
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Duda
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Kawin
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Alamat
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Kecamatan
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