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Form Data PMI Desa Teniga
Form Pendataan PMI Desa Teniga
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* Indicates required question
*
Silahkan Masukkan Nama PMI
Your answer
Alamat Dusun
*
Choose
Mekar Sari
Dasan Tengak
Dasan Anyar
Beriri Genteng
Dasan Baro
Batu Lilir
Onggong Daya
Onggong Lauk
Mur Pebuan Baru
Jenis Kelamin
*
Laki-laki
Perempuan
Status Perkawinan
*
Choose
Kawin
Belum Kawin
Cerai Hidup
Cerai Mati
Agama
*
Choose
Islam
Hindu
Budha
Kristen
Konghucu
Umur
*
Cukup Tulis Angka Saja
Your answer
Pendidikan Terakhir
*
Choose
SD Sederajat
SMP Sederajat
SMA Sederajat
D1
D2
D3
S1
S2
S3
Tidak Sekolah
Negara Tujuan
*
Saudi Arabia
Malaysia
Qatar
Dubai
Abudhabi
Taiwan
Hongkong
Korea
Berunai Darussalam
Jepang
Other:
Nama P3MI
Your answer
Alamat P3MI
Your answer
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