Form Kritik & Saran
DP BBM 23 (
www.kata-anak.tk
)
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Email address
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Your email
Pilih salah satu
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Kritik
Masukan
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Isi Nama Anda
*
Your answer
Isi Alamat Anda
*
Your answer
Pilih salah satu
*
Punya
Tidak punya
Required
Isikkan Link ( Jika Punya )
Your answer
Isi Kode Pos
*
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Isi Dengan TTL Anda
*
MM
/
DD
/
YYYY
Isi Kritik/Masukkan
*
Your answer
Tanggapan Anda
*
Puas
Kurang puas
Sangat tidak puas
Other:
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