Data Dukungan Jamaah Untuk Fkub - at Taqwa RDB

DAFTAR NAMA PENGGUNA / JAMAAH
Yang bertanda tangan dibawah ini kami adalah calon jamaah masjid:
Nama Masjid : AT TAQWA
Penanggung Jawab : Yayasan Takmir Masjid TAQWA Randublatung
Alamat : Jln. Kawedanan No:02, RT : 005 – RW : 001 Kel/Kec. Randublatung
Kab. Blora Provinsi Jawa Tengah
NAMA TANDA TANGAN
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Meterai
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Rp ____________________________
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Mengetahui
Ketua Yayasan Kepala Kelurahan
Takmir Masjid Taqwa
JAYIN MUKMININ NUNIK ERYAWTI, SE,MM

NIP 19801017 201001 2 019

Data Dukungan Jamaah Untuk Fkub - at Taqwa RDB

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Data Dukungan Jamaah Untuk Fkub - at Taqwa RDB

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DAFTAR NAMA PENGGUNA / JAMAAH

NAMA TANDA TANGAN

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