kinnor music Form
Email address *
Nama Lengkap *
Tempat lahir *
Tanggal Lahir *
MM
/
DD
/
YYYY
Alamat *
Telepon / H.P *
Status *
Jenis Kelamin *
Instrument Kualifikasi *
Nama Gereja *
Nama Gembala *
Alamat dan Telp. *
Tugas Pelayanan / melayani sebagai : *
Penyandang Disabilitas Fisik / Mental (Jika YA, jelaskan) *
Penyandang Sakit Kambuhan dan lain-lain (Jika YA, jelaskan) *
Data Sponsor *
Pas Photo *
Required
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