FORMULIR PENDAFTARAN FORMULIR PENDAFTARAN

SANTA CLAUS SANTA CLAUS

NAMA : ............................................................................ NAMA : .........................................................................

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Umur : ............................................................................ Umur : .........................................................................

Jenis Kelamin : ............................................................................ Jenis Kelamin : .........................................................................

Alamat : ............................................................................ Alamat : .........................................................................

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Pesan yang akan disampaikan Pesan yang akan disampaikan

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Contact Person : 085340218513 ( Sherly ) Contact Person : 085340218513 ( Sherly )

@ OMK. Stasi St. Fransiskus Xaverius Kema @ OMK. Stasi St. Fransiskus Xaverius Kema
FORMULIR PENDAFTARAN
SANTA CLAUS

NAMA : ............................................................................

............................................................................

Umur : ............................................................................

Jenis Kelamin : ............................................................................

Alamat : ............................................................................

............................................................................

Pesan yang akan disampaikan

..................................................................................................................................................................

..................................................................................................................................................................

..................................................................................................................................................................

..................................................................................................................................................................

Contact Person : 085340218513 ( Sherly )

@ OMK. Stasi St. Fransiskus Xaverius Kema