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Pendataan Jama'ah
Kami dari pengurus meminta kesediaan Bapak/Ibu berpartisipasi dalam upaya memakmurkan masjid melalui pendataan ini
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Nama Bapak/Ibu *
No HP *
Tanggal Lahir *
MM
/
DD
/
YYYY
Alamat Tinggal (RT/RW/Desa) *
Golongan Darah *
Pekerjaan Bapak Ibu *
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