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  CLUB FORM

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By joining WARSI-Club, you will get info or news, KKI-Warsi ongoing programs and its activities through e-mail. 
Dengan mendaftar sebagai anggota WARSI-Club, anda akan mendapatkan info, berita, perkembangan lembaga maupun program-program KKI-WARSI melalui e-mail.
 		  
 

Name:           Sex: 
Date of birth:
E-mail:       
Phone:        
Handphone:    
Occupation:   
Address:      

Agreement:
Yes, I agree to receive email from KKI-WARSI.
Ya, saya bersedia menerima e-mail dari KKI-WARSI.

  
   

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