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Formulir Donor Darah
Akan dilaksanakan kegiatan Donor Darah dalam rangka rangkaian acara HUT Gereja Hati Kudus Tuhan Yesus Pugeran ke-88
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Lokasi Donor Darah
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Gereja Salib Suci Gunung Sempu | Minggu, 17 Juli 2022 pukul 10.00 WIB
Gereja Brayat Minulyo | Minggu, 24 Juli 2022 pukul 10.00 WIB
Nama Lengkap
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Tempat Lahir
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Tanggal Lahir
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MM
/
DD
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YYYY
Golongan Darah
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AB
A
B
O
Alamat Lengkap
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Nomor Telepon
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