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Formulir Relawan Gerak Bareng
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Nama Lengkap
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Email
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Akun FB
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Akun IG
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Pendidikan/Sekolah/Jurusan
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Aktivitas Sekarang
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No KTP
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Tanggal Lahir
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Apakah Anda mengenal Gerak Bareng sebelumnya?
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Mengapa anda mau mendaftar menjadi relawan Gerak Bareng?
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Beritahu ketrampilan/kemampuan yang Anda miliki (boleh lebih dari satu)
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Nama,hubungan dan No telpon yang bisa dihubungi saat darurat
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Ceritakan aktivitas kerelawanan yang pernah Anda ikuti
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Apakah Anda bersedia mengikuti Program Relawan Gerak Bareng
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