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FORMULIR BAPTIS REMAJA-DEWASA
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Email
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Nomor Induk Kependudukan / NIK
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Your answer
KK Gereja
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Your answer
Nama Baptis
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Nama Lengkap
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Tempat Lahir
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Tanggal Lahir
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MM
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DD
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YYYY
Jenis Kelamin
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Perempuan
Laki-laki
Alamat Domisili
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No. Telepon/HP Calon Baptis
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Paroki Calon Baptis
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Wilayah/Lingkungan Calon Baptis
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Agama Sebelumnya
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Status Pernikahan
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Belum Menikah
Sudah Menikah
Cerai Mati
Cerai Hidup
Menikah secara
Jika sudah menikah
Adat
Sipil
KUA
Gereja
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Nama Pasangan
Jika sudah menikah
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Agama Pasangan
Jika sudah menikah
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Tanggal Pernikahan
Jika sudah menikah
MM
/
DD
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YYYY
Tempat Pernikahan
Jika sudah menikah
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Nama Lengkap Ayah
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Agama Ayah
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Nama Lengkap Ibu
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Agama Ibu
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Nama Lengkap Wali Baptis
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No. Telepon/HP Wali Baptis
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Paroki Wali Baptis
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Wilayah/Lingkungan Wali Baptis
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