DATA PENDUDUK DATANG DESA BESUKI
Pencatatan keluar masuknya warga desa Besuki dari dan ke daerah lain:

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NIK *
Nama *
No. HP/WA *
Jenis Kelamin *
Alamat Lengkap *
Bepergian Dari. . . *
(KOTA/PROVINSI/NEGARA)
Tanggal Kedatangan *
MM
/
DD
/
YYYY
Keperluan *
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