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DATA ANGGOTA BHADRA YOGA SANSTHA
menjadi member di Bhadra Yoga Sanstha Bontang.
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Nama Lengkap (sesuai KTP)
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Nama Panggilan
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Tempat, tanggal lahir
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Alamat tempat tinggal
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Alamat email
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No. HP (WA)
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Pekerjaan dan nama Institusi
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Usia
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0-17
18-25
26-30
31-35
36-40
41-45
46-50
51-55
56-60
61-65
65-70
Jenis Kelamin
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Laki-Laki
Perempuan
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Apa motivasi ikut kelas Yoga?
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Apa keluhan anda atau riwayat sakit (jika ada)
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Jadwal Kelas Yoga yang anda inginkan
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Senin Sore Pukul 16.30-18.00 Wite
Selasa Sore Pukul 16.30-18.00 Wite
Rabu Sore Pukul 16.30-18.00 Wite
Kamis Sore Pukul 16.30-18.00 Wite
Jumat Sore Pukul 16.30-18.00 Wite
Sabtu Pagi pukul 07.30-09.00 Wite
Sabtu Sore Pukul 16.00 - 18.30 Wite
Dari mana anda mengetahui Bhadra Yoga Sanstha?
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Berapa lama anda tergabung dalam Bhadra Yoga Sanstha (Bulan dan Tahun)
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Tuliskan testimoni anda setelah mengikuti kelas Yoga di Bhadra Yoga Sanstha (Khusus Member)
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Apa Harapan Anda terhadap Bhadra Yoga Sanstha
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Apa saran anda untuk kemajuan Bhadra Yoga Sanstha?
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