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Peraxuan Ting O00 - Unneratas Gaia Mada
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"idk sea sara dengan tanggal mull Dek ‘SURAT PERNYATAAN
Yang bertandatangan di bawah ini saya
Nama’ Anindita Pristina
Tempat /Tanggal Lahir = Kebumen / 15 Juni 1997
Agama Islam
‘Alamat ‘Semali Tengah RTOTURWO3, Semali, Sempor, Kebumen,
Jawa Tengah,
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