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    Position applying for*



    A. PERSONAL IDENTITY

    1. Full Name*

    2. Nickname

    3. Birthplace & birthdate*

    4. Gender

    5. Address*

    6. Alternate address*

    7. City/ Province/ State*

    8. Phone No./ H/P*

    9. Religion

    10. Height

    11. Weight

    12. ID Card No*

    13. Issued at Valid until

    14. E-mail*

    15. Anak Ke dari total bersaudara:

    16. No. Telp Saudara/ Keluarga terdekat yang bisa dihubungi* Status

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