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Form Join OBRAS 2020
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Nama Lengkap
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Your answer
Tempat Lahir
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Your answer
Tanggal Lahir
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MM
/
DD
/
YYYY
Jenis Kelamin
*
Laki-laki
Perempuan
Asal Sekolah
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Your answer
Tingkat Kelas
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SMP 7
SMP 8
SMP 9
Alamat Tempat Tinggal
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Your answer
Alamat Email
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Your answer
No. HP (WhatsApp)
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Your answer
Nama Orang tua
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Your answer
No. WhatsApp Orang tua
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