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DATA UMAT BERKEBUTUHAN KHUSUS
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Nama Lengkap
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Nama Panggilan
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Jenis Kelamin
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Perempuan
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Alamat Rumah
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Nomor handphone
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Nomor telephone rumah
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Lingkungan
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Paroki
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Nama Permandian dan tanggal Permandian
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Nomor Surat Baptis
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