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Pendataan Kebutuhan Vaksin
Bagi saudara yang belum berkesempatan mendapat vaksin pertama dan membutuhkan bantuan, mohon lengkapi data berikut ini.
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Nama Lengkap (Sesuai KTP)
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Your answer
No.KTP
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Your answer
No.Handphone
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Your answer
Tanggal Lahir
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MM
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DD
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YYYY
Status Keanggotaan
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Anggota Baptis/Sidi GKI Peterongan
Simpatisan GKI Peterongan
Anggota jemaat dari gereja lain
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