LEMBAR PENILAIAN PERSONAL PENYANDANG DISABILITAS YANG BERHADAPAN HUKUM 
PERKARA PIDANA DAN PERDATA
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I. IDENTITAS
Jenis Perkara *
Nomor Perkara
*
Status *
Umur Kalender
Umur Mental
Status Perkawinan *
Alamat KTP *
Alamat Domisili *
Nomor Kontak *
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