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Lapor Diri
Orang yang baru datang ke Desa Cigelam Wajib Isi
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Nama
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NIK KTP
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Tempat Lahir
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Tanggal Lahir
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Tujuan Kerumah
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Isikan Rumah Tujuan dan RT
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Alamat Asal
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Dari Kota/Kabupaten/Negara
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Tanggal Kedatangan
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Tujuan Kedatangan
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Keterangan
Kerja Pulang Pergi
Pulang Seminggu sekali
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Berkunjung kurang dari 7 hari
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