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FORM PENGADUAN
Dinas Kependudukan dan Catatan Sipil Kabupaten Boalemo
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Nama Pelapor :
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Your answer
Jenis Kelamin :
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Laki-laki
Perempuan
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Nomor Identitas KTP/Pasport/SIM :
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Your answer
No Telepon/HP :
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Your answer
Pekerjaan :
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PNS
SWASTA
POLISI
TNI
PETANI
MAHASISWA
PELAJAR
LAIN-LAIN
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Alamat :
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Your answer
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