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Form Registrasion Online Robotics Education Center Cibubur
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Nama Anda
Nama Lengkap
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Jenis Kelamin
Cheklist pilihan
Laki - Laki
Perempuan
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Alamat tempat tinggal
Contoh : Jl. Trans Yogie , Kota Wisata . Cibubur
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No. HP
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No. Telp Rumah
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Alamat E-maiL
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Nama Putra/Putri Anda
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Tempat , Tanggal Lahir Putra/Putri Anda
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Contoh : Jakarta, 14 Mei 1989
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Status Pendidikan Anak
contoh : kelas 4 , Sekolah Dasar Negeri ABC , Bogor
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Tujuan Mengikutsertakan Anak Saya :
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Saya Bersedia dengan ketentuan dan bersungguh ingin mengikut sertakan anak Saya
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