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FORMULIR PROGRAM KENCLENG SEDEKAH
Saya bersedia berpartisipasi dalam program Kencleng Sedekah LAZ Rumah Yatim Dhuafa (RYDHA).
Semoga ini menjadi amal soleh dan dibalas pahala berlipat oleh Allah SWT. Aamiin
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Contoh Kencleng dan alur penghimpunan
Nama
*
Your answer
Tempat Tgl Lahir
Your answer
Nomor kontak (HP/WA)
*
Your answer
Pekerjaan
Your answer
Alamat E-mail
*
Your answer
Alamat Rumah
*
Ex : Jl. Raya Mauk Rt. 16/04 Desa Bojong Sari Kec. Mauk Kab. Tangerang
Your answer
Jumlah Kencleng yang dibutuhkan
*
Your answer
Jemput Kencleng Tanggal Berapa ?
Ex : Setiap tanggal 27
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DD
/
YYYY
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