FORMULIR PENDATAAN MASJID / MUSHOLA
MAJELIS WAKIL CABANG NAHDLATUL ULAMA NGRONGGOT
NAMA MASJID / MUSHOLA
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ALAMAT MASJID / MUSHOLA
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NAMA KETUA TAKMIR / PENGURUS
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ALAMAT KETUA TAKMIR / PENGURUS
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NOMOR HP / WA
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