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DATA RADIO KOMUNITAS SE-WILAYAH III CIREBON

Nama Radio Komunitas :


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Komunitas Sasaran :
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Tahun Berdiri
:
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Proses Perizinan
:
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Alamat
:
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No Telpon Radio

: _____________________________________________________________

Alamat Email Radio: _____________________________________________________________


Akun Medsos radio : _____________________________________________________________
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Nama Ketua

: _____________________________________________________________

Nomor Telpon
:
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Email

: _____________________________________________________________

Bersedia bergabung di Jaringan Radio Komunitas (JRK) Jawa Barat (Ya/Tidak)*

Ketua Radio
Komunitas
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