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Cimahi, April 2012
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Tempat : .................................................
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KELUARGA .................................
Panganten Sakalih
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Bismillahirrohmanirrohim
Dinten : ...............................................
Kaping : ...............................................
Waktos : ...............................................
Tempat : ...............................................
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Bismillahirrohmanirrohim
Dinten : ...............................................
Kaping : ...............................................
Waktos : ...............................................
Tempat : ...............................................
Prantos di Khitan :
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Bismillahirrahmanirrahiim
KELUARGA .................................
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Bismillahirrohmanirrohim
Dinten : ...............................................
Kaping : ...............................................
Waktos : ...............................................
Tempat : ...............................................
Dinten : ...............................................
Kaping : ...............................................
Waktos : ...............................................
Tempat : ...............................................