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Formulir Pendaftaran Anggota Perpustakaan SMA XAVERIUS 5 BELITANG Guru, Staff, Karyawan dan Umum
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Nama Lengkap
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Your answer
Tanggal Lahir
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MM
/
DD
/
YYYY
Tempat Lahir
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Your answer
Jenis Kelamin
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Laki-laki
Perempuan
Agama
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Islam
Katolik
Kristen
Hindu
Budha
Konghucu
Alamat
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Your answer
Kode Pos
Your answer
No. HP (WA)
*
Your answer
Email
Your answer
Tipe Keanggotaan
*
Siswa
Umum
Guru, Staff, dan Karyawan
Tugas Tanggung Jawab
*
Tenaga Pendidik (Guru)
Tenaga Kependidikan (Staff Karyawan)
Tenaga Teknis
Koordinator Sekolah
Satpam
Mahasiswa/i
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