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PENDAFTARAN PESERTA JAMBORE INKLUSI SEKOLAH MINGGU GKPS TAHUN 2023
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Nama Lengkap :
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Nomor Induk Kependudukan (NIK) :
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Jenis Kelamin :
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Laki - laki
Perempuan
Tanggal Lahir :
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YYYY
Alamat :
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No. HP/WA :
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Jemaat :
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Resort :
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Distrik :
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Status Peserta :
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ASM
RBM
Pendamping
No. BPJS Kesehatan yang Aktif :
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CATATAN :
Fotocopy Kartu Keluarga, Kartu BPJS Kesehatan & Surat Ijin Orang Tua dibawa pendamping pada saat pendaftaran orang
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