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PENDATAAN JEMAAT YOUTH ABBALOVE INDUSTRI
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Nama Lengkap
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Your answer
Jenis Kelamin
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Laki-Laki
Perempuan
Tempat Lahir
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Tanggal Lahir
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Contoh: 10 Januari 1995
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Pekerjaan
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Pelajar (Sekolah)
Mahasiswa (Kuliah)
Bekerja
Golongan Darah
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A
B
AB
O
Tidak Tahu
Alamat Lengkap
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No Handphone
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E-Mail
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