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Pendaftaran Muallaf
Sejak 2006 Attaqwa Centre telah diberikan kepercayaan untuk melayani muallaf dan proses pelayanan termasuk legislasi administrasi
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Nama
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Tempat/Tanggal Lahir
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MM
/
DD
/
YYYY
No. HP
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Your answer
Pendidikan Terakhir
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Choose
SD/Sederajat
SMP/Sederajat
SMA/Sederajat
D1
D2
D3
S1
S2
S3
Alamat Domisili
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Your answer
Jenis Kelamin
*
Pria
Wanita
Agama Terdahulu
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Kristen Protestan
Kristen Katolik
Buddha
Hindu
Kong Hu Cu
Lainnya
Tanggapan Tokoh Agama
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Nama Instansi Bekerja
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Tanggapan Teman Se-profesi
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Nama Orang Tua
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Status Pernikahan
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Sudah Menikah
Belum Menikah
Duda
Janda
Lainnya
Jumlah Tanggungan
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Rata-rata Penghasilan Perbulan
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Nama Keluarga Pendamping
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Kontak Keluarga Pendamping
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Tanggapan Keluarga
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Motivasi Menjadi Muallaf
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