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\fs2 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \charscalex99 : ................
................................................................................
..}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0
\ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch
\af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \ce
ll }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \it
ap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2
\hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustrigh
t \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\
fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0
\nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2
\hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\
pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0
\intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \trowd \trql \tr
gaph0 \trrh348 \trleft0 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trp
addl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalb \clbr
drl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb
\cellx2420 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone
\clbrdrb \brdrnone \cltxlrtb \cellx3060 \clvertalb \clbrdrl \brdrnone \clbrdrr \
brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx4200 \clvertalb \
clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltx
lrtb \cellx5300 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrn
one \clbrdrb \brdrnone \cltxlrtb \cellx6768 \clvertalb \clbrdrl \brdrnone \clbrd
rr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pa
rd \plain \qj \li0 \ri0 \sl-206 \slmult0 \nowidctlpar \adjustright \lin0 \rin0 \
intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2
\dbch \af4 \hich \af4 \loch \f4 Nomor Paspor}{\fs21 \kerning2 \dbch \af2 \hich \
af0 \loch \f0 \cell }\pard \plain \qj \li60 \ri0 \nowidctlpar \adjustright \lin6
0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs2 \k
erning2 \dbch \af4 \hich \af4 \loch \f4 \charscalex99 : .......................
...........................................................................}{\fs
21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \
nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pa
rd \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs
21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich
\af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0
\rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \k
erning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowid
ctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich

\af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \p
lain \qj \li0 \ri0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1
\itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \trowd \trql \trgaph0 \
trrh343 \trleft0 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108
\trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalb \clbrdrl \br
drnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx
2420 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdr
b \brdrnone \cltxlrtb \cellx3060 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnon
e \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx4200 \clvertalb \clbrdrl
\brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \c
ellx5300 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \cl
brdrb \brdrnone \cltxlrtb \cellx6768 \clvertalb \clbrdrl \brdrnone \clbrdrr \brd
rnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pard \pla
in \qj \li0 \ri0 \sl-206 \slmult0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1
\itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \
af4 \hich \af4 \loch \f4 Nama Calon Jamaah}{\fs21 \kerning2 \dbch \af2 \hich \af
0 \loch \f0 \cell }\pard \plain \qj \li60 \ri0 \nowidctlpar \adjustright \lin60
\rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs2 \ker
ning2 \dbch \af4 \hich \af4 \loch \f4 \charscalex99 : .........................
.........................................................................}{\fs21
\kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \no
widctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hi
ch \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard
\plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21
\kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \a
f0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \
rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \ker
ning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidct
lpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \a
f0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \pla
in \qj \li0 \ri0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \
itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \trowd \trql \trgaph0 \tr
rh348 \trleft0 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \
trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalb \clbrdrl \brdr
none \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx24
20 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb
\brdrnone \cltxlrtb \cellx3060 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone
\clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx4200 \clvertalb \clbrdrl \
brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cel
lx5300 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbr
drb \brdrnone \cltxlrtb \cellx6768 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrn
one \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pard \plain
\qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerni
ng2 \dbch \af2 \hich \af0 \loch \af0 {\fs9 \kerning2 \dbch \af4 \hich \af4 \loch
\f4 \charscalex76 Nama Lengkap Orang Tua Laki-laki : .........................
.........................................................................}{\fs21
\kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \no
widctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hi
ch \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard
\plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21
\kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \a
f0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \
rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \ker
ning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidct
lpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \a
f0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \pla
in \qj \li0 \ri0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \
itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \trowd \trql \trgaph0 \tr
rh343 \trleft0 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \
trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalb \clbrdrl \brdr

none \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx30

60 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb
\brdrnone \cltxlrtb \cellx4200 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone
\clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx5300 \clvertalb \clbrdrl \
brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cel
lx6768 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbr
drb \brdrnone \cltxlrtb \cellx7968 \row \pard \plain \qj \li0 \ri0 \sl-206 \slmu
lt0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \
af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 Tempa
t Tanggal Lahir}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \p
lain \qj \li60 \ri0 \nowidctlpar \adjustright \lin60 \rin0 \intbl1 \itap1 \fs21
\kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs2 \kerning2 \dbch \af4 \hich \af4
\loch \f4 : ..................................................................
...............................}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0
\cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1
\itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch
\af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjust
right \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af
0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0
\ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch
\af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cel
l }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \ita
p1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2
\hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \asp
num \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af
0 \loch \af0 \trowd \trql \trgaph0 \trrh348 \trleft0 \trautofit \trftsWidth1 \tr
ftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb
3 \trpaddfr3 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone
\clbrdrb \brdrnone \cltxlrtb \cellx2420 \clvertalb \clbrdrl \brdrnone \clbrdrr
\brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx3060 \clvertalb
\clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \clt
xlrtb \cellx4200 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdr
none \clbrdrb \brdrnone \cltxlrtb \cellx5300 \clvertalb \clbrdrl \brdrnone \clbr
drr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx6768 \clvert
alb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone
\cltxlrtb \cellx7968 \row \pard \plain \qj \li0 \ri0 \sl-206 \slmult0 \nowidctlp
ar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0
\loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 Jenis Kelamin}{\fs2
1 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li60 \ri0 \
nowidctlpar \adjustright \lin60 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2
\hich \af0 \loch \af0 {\fs2 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \charscale
x99 : .........................................................................
.........................}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell
}\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap
1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \
hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright
\lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs
24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \
nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pa
rd \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs
21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich
\af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \aspnum \a
djustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loc
h \af0 \trowd \trql \trgaph0 \trrh346 \trleft0 \trautofit \trftsWidth1 \trftsWid
thB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trp
addfr3 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbr
drb \brdrnone \cltxlrtb \cellx2420 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrn
one \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx3060 \clvertalb \clbrd
rl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb

\cellx4200 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \

clbrdrb \brdrnone \cltxlrtb \cellx5300 \clvertalb \clbrdrl \brdrnone \clbrdrr \b
rdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx6768 \clvertalb \c
lbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxl
rtb \cellx7968 \row \pard \plain \qj \li0 \ri0 \sl-206 \slmult0 \nowidctlpar \ad
justright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch
\af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 Status Perkawinan}{\fs21
\kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li60 \ri0 \sl
-206 \slmult0 \nowidctlpar \adjustright \lin60 \rin0 \intbl1 \itap1 \fs21 \kerni
ng2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loc
h \f4 :}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj
\li0 \ri0 \sl-206 \slmult0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1
\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \h
ich \af4 \loch \f4 \charscalex90 Belum Menikah}{\fs21 \kerning2 \dbch \af2 \hich
\af0 \loch \f0 \cell }\pard \plain \qr \li0 \ri91 \sl-206 \slmult0 \nowidctlpar
\adjustright \lin0 \rin91 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0
\loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 Sudah Menikah}{\fs21
\kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \no
widctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hi
ch \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard
\plain \qj \li0 \ri0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \int
bl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \trowd \trql \trgaph
0 \trrh346 \trleft0 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl
108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalb \clbrdrl
\brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \ce
llx2420 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clb
rdrb \brdrnone \cltxlrtb \cellx3060 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdr
none \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx4200 \clvertalb \clbr
drl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb
\cellx6768 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone
\clbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pard \plain \qj \li0 \ri0 \sl-206
\slmult0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \d
bch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4
Alamat sesuai KTP}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard
\plain \qj \li60 \ri0 \nowidctlpar \adjustright \lin60 \rin0 \intbl1 \itap1 \fs2
1 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs2 \kerning2 \dbch \af4 \hich \a
f4 \loch \f4 \charscalex99 : ..................................................
................................................}{\fs21 \kerning2 \dbch \af2 \hi
ch \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \l
in0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24
\kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \no
widctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hi
ch \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard
\plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21
\kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \a
f0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \
rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \ker
ning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \widctlp
ar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \db
ch \af2 \hich \af0 \loch \af0 \trowd \trql \trgaph0 \trrh346 \trleft0 \trautofit
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lbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pard \plain \qj \li0 \ri0 \nowidctlp

ar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0
\loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain
\qj \li280 \ri0 \sl-206 \slmult0 \nowidctlpar \adjustright \lin280 \rin0 \intbl
1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch
\af4 \hich \af4 \loch \f4 \charscalex70 .......................................
...........................................................}{\fs21 \kerning2 \db
ch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adj
ustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch
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2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustrig
ht \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {
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\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hi
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in0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24
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widctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hi
ch \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard
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brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pard \
plain \qj \li1720 \ri0 \sl-206 \slmult0 \nowidctlpar \adjustright \lin1720 \rin0
\intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning
2 \dbch \af4 \hich \af4 \loch \f4 Kel}{\fs21 \kerning2 \dbch \af2 \hich \af0 \lo
ch \f0 \cell }\pard \plain \qj \li60 \ri0 \nowidctlpar \adjustright \lin60 \rin0
\intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs7 \kerning2
\dbch \af4 \hich \af4 \loch \f4 \charscalex71 : ..............................
.......}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj
\li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2
\dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f
0 \cell }\pard \plain \qj \li40 \ri0 \sl-206 \slmult0 \nowidctlpar \adjustright
\lin40 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\f
s18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 Kec}{\fs21 \kerning2 \dbch \af2 \h
ich \af0 \loch \f0 \cell }\pard \plain \qr \li0 \ri0 \sl-206 \slmult0 \nowidctlp
ar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0
\loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \charscalex73 : ...
...................}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\par

d \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs2
1 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \
af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \aspnum \ad
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ne \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx3060 \clvertalb \clbrdr
l \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \
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lbrdrb \brdrnone \cltxlrtb \cellx5300 \clvertalb \clbrdrl \brdrnone \clbrdrr \br
drnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx6768 \clvertalb \cl
brdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlr
tb \cellx7968 \row \pard \plain \qj \li1720 \ri0 \nowidctlpar \adjustright \lin1
720 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18
\kerning2 \dbch \af4 \hich \af4 \loch \f4 Kota}{\fs21 \kerning2 \dbch \af2 \hic
h \af0 \loch \f0 \cell }\pard \plain \qj \li60 \ri0 \nowidctlpar \adjustright \l
in60 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs7
\kerning2 \dbch \af4 \hich \af4 \loch \f4 \charscalex71 : ....................
.................}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard
\plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21
\kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af
0 \loch \f0 \cell }\pard \plain \qj \li40 \ri0 \nowidctlpar \adjustright \lin40
\rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \ke
rning2 \dbch \af4 \hich \af4 \loch \f4 Kode Pos}{\fs21 \kerning2 \dbch \af2 \hic
h \af0 \loch \f0 \cell }\pard \plain \qr \li0 \ri0 \nowidctlpar \adjustright \li
n0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18
\kerning2 \dbch \af4 \hich \af4 \loch \f4 \charscalex73 : ......................
}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \
ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \
af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell
}\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \ri
n0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \trowd \trql
\trgaph0 \trrh348 \trleft0 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \
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lbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxl
rtb \cellx2420 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrno
ne \clbrdrb \brdrnone \cltxlrtb \cellx3060 \clvertalb \clbrdrl \brdrnone \clbrdr
r \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx4200 \clvertal
b \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \c
ltxlrtb \cellx5300 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \br
drnone \clbrdrb \brdrnone \cltxlrtb \cellx6768 \clvertalb \clbrdrl \brdrnone \cl
brdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx7968 \row
\pard \plain \qj \li1720 \ri0 \nowidctlpar \adjustright \lin1720 \rin0 \intbl1 \
itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \a
f4 \hich \af4 \loch \f4 Telp}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \c
ell }\pard \plain \qj \li60 \ri0 \nowidctlpar \adjustright \lin60 \rin0 \intbl1
\itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs7 \kerning2 \dbch \a
f4 \hich \af4 \loch \f4 \charscalex71 : .....................................}{
\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri
0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af
2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }
\pard \plain \qj \li40 \ri0 \nowidctlpar \adjustright \lin40 \rin0 \intbl1 \itap
1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \
hich \af4 \loch \f4 Fax.}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell
}\pard \plain \qr \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1
\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \h
ich \af4 \loch \f4 \charscalex73 : ......................}{\fs21 \kerning2 \dbch
\af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjus

tright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \a
f0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0
\ri0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21
\kerning2 \dbch \af2 \hich \af0 \loch \af0 \trowd \trql \trgaph0 \trrh343 \trle
ft0 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108
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rr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx2420 \clverta
lb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \
cltxlrtb \cellx3060 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \b
rdrnone \clbrdrb \brdrnone \cltxlrtb \cellx4200 \clvertalb \clbrdrl \brdrnone \c
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ne \cltxlrtb \cellx6768 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdr
t \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pard \plain \qj \li0 \
ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \
af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 Pendi
dikan Terakhir}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \pl
ain \qj \li60 \ri0 \nowidctlpar \adjustright \lin60 \rin0 \intbl1 \itap1 \fs21 \
kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs7 \kerning2 \dbch \af4 \hich \af4
\loch \f4 \charscalex71 : .....................................}{\fs21 \kerning
2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar
\adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \
loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \
qj \li40 \ri0 \nowidctlpar \adjustright \lin40 \rin0 \intbl1 \itap1 \fs21 \kerni
ng2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loc
h \f4 Pekerjaan}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \p
lain \qr \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \k
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\loch \f4 \charscalex73 : ......................}{\fs21 \kerning2 \dbch \af2 \hi
ch \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \l
in0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24
\kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \wi
dctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning
2 \dbch \af2 \hich \af0 \loch \af0 \trowd \trql \trgaph0 \trrh348 \trleft0 \trau
tofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl
3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrn
one \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx2420 \clvertalb \clbrd
rl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb
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clbrdrb \brdrnone \cltxlrtb \cellx4200 \clvertalb \clbrdrl \brdrnone \clbrdrr \b
rdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx5300 \clvertalb \c
lbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxl
rtb \cellx6768 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrno
ne \clbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pard \plain \qj \li0 \ri0 \nowi
dctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich
\af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 Mahram/suami/i
stri }{\i1 \fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 (bila ada)}{\fs21 \ke
rning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li60 \ri0 \nowid
ctlpar \adjustright \lin60 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich
\af0 \loch \af0 {\fs2 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \charscalex99 :
..............................................................................
....................}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pa
rd \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs
21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich
\af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0
\rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \k
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ctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich
\af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \p
lain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \k

erning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0
\loch \f0 \cell }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \aspnum \adjust
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ne \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx6768 \clvertalb \clbrdr
l \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \
cellx7968 \row \pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0
\intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2
\dbch \af4 \hich \af4 \loch \f4 Hubungan Mahram}{\fs21 \kerning2 \dbch \af2 \hi
ch \af0 \loch \f0 \cell }\pard \plain \qj \li60 \ri0 \nowidctlpar \adjustright \
lin60 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs
2 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \charscalex99 : ...................
...............................................................................}
{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \r
i0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \a
f2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell
}\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1
\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \h
ich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \
lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs2
4 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \n
owidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \h
ich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\par
d \plain \qj \li0 \ri0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \in
tbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \trowd \trql \trgap
h0 \trrh348 \trleft0 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpadd
l108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalb \clbrdrl
\brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \c
ellx2420 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \cl
brdrb \brdrnone \cltxlrtb \cellx3060 \clvertalb \clbrdrl \brdrnone \clbrdrr \brd
rnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx4200 \clvertalb \clb
rdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrt
b \cellx5300 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone
\clbrdrb \brdrnone \cltxlrtb \cellx6768 \clvertalb \clbrdrl \brdrnone \clbrdrr
\brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pard
\plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21
\kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af
4 \loch \f4 Ciri - ciri Calon Jemaah }{\i1 \fs18 \kerning2 \dbch \af4 \hich \af4
\loch \f4 (Khusus Haji)}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell
}\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1
\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \h
ich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \
lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs2
4 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \n
owidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \h
ich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\par
d \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs2
1 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \
af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \aspnum \ad
justright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch
\af0 \trowd \trql \trgaph0 \trrh346 \trleft0 \trautofit \trftsWidth1 \trftsWidt
hB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpa
ddfr3 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrd

rb \brdrnone \cltxlrtb \cellx3060 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrno

ne \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx4200 \clvertalb \clbrdr
l \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \
cellx5300 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \c
lbrdrb \brdrnone \cltxlrtb \cellx6768 \clvertalb \clbrdrl \brdrnone \clbrdrr \br
drnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pard \pl
ain \qj \li1720 \ri0 \nowidctlpar \adjustright \lin1720 \rin0 \intbl1 \itap1 \fs
21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich
\af4 \loch \f4 Muka}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\par
d \plain \qj \li60 \ri0 \nowidctlpar \adjustright \lin60 \rin0 \intbl1 \itap1 \f
s21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs7 \kerning2 \dbch \af4 \hich
\af4 \loch \f4 \charscalex70 : ......................................}{\fs21 \k
erning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowid
ctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich
\af0 \loch \af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \p
lain \qj \li40 \ri0 \nowidctlpar \adjustright \lin40 \rin0 \intbl1 \itap1 \fs21
\kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af
4 \loch \f4 Rambut}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard
\plain \qr \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21
\kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs17 \kerning2 \dbch \af4 \hich \a
f4 \loch \f4 \charscalex71 : ........................}{\fs21 \kerning2 \dbch \af
2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustrig
ht \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {
\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri
0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \ke
rning2 \dbch \af2 \hich \af0 \loch \af0 \trowd \trql \trgaph0 \trrh346 \trleft0
\trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trp
addfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalb \clbrdrl \brdrnone \clbrdrr \
brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx2420 \clvertalb \
clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltx
lrtb \cellx3060 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrn
one \clbrdrb \brdrnone \cltxlrtb \cellx4200 \clvertalb \clbrdrl \brdrnone \clbrd
rr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx5300 \clverta
lb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \
cltxlrtb \cellx6768 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \b
rdrnone \clbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pard \plain \qj \li1720 \r
i0 \nowidctlpar \adjustright \lin1720 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch
\af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 Hid
ung}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li
60 \ri0 \nowidctlpar \adjustright \lin60 \rin0 \intbl1 \itap1 \fs21 \kerning2 \d
bch \af2 \hich \af0 \loch \af0 {\fs7 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \
charscalex70 : ......................................}{\fs21 \kerning2 \dbch \a
f2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustri
ght \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0
{\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li40 \
ri0 \nowidctlpar \adjustright \lin40 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch
\af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \cha
rscalex97 Tinggi Badan}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\
pard \plain \qr \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \
fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs16 \kerning2 \dbch \af4 \hic
h \af4 \loch \f4 \charscalex73 : .........................}{\fs21 \kerning2 \dbc
h \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adju
stright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \
af0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li
0 \ri0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \fs2
1 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \trowd \trql \trgaph0 \trrh346 \trl
eft0 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108
\trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalb \clbrdrl \brdrnone \clbr
drr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx2420 \clvert
alb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone

\cltxlrtb \cellx3060 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \

brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx4200 \clvertalb \clbrdrl \brdrnone \
clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx5300 \cl
vertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrn
one \cltxlrtb \cellx6768 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrd
rt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pard \plain \qj \li17
20 \ri0 \nowidctlpar \adjustright \lin1720 \rin0 \intbl1 \itap1 \fs21 \kerning2
\dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f
4 Mata}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj
\li60 \ri0 \nowidctlpar \adjustright \lin60 \rin0 \intbl1 \itap1 \fs21 \kerning2
\dbch \af2 \hich \af0 \loch \af0 {\fs7 \kerning2 \dbch \af4 \hich \af4 \loch \f
4 \charscalex70 : ......................................}{\fs21 \kerning2 \dbch
\af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjus
tright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \a
f0 {\fs24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li4
0 \ri0 \nowidctlpar \adjustright \lin40 \rin0 \intbl1 \itap1 \fs21 \kerning2 \db
ch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 C
iri - ciri lain}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \p
lain \qr \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \k
erning2 \dbch \af2 \hich \af0 \loch \af0 {\fs17 \kerning2 \dbch \af4 \hich \af4
\loch \f4 \charscalex71 : ........................}{\fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright
\lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs
24 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \
widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerni
ng2 \dbch \af2 \hich \af0 \loch \af0 \trowd \trql \trgaph0 \trrh346 \trleft0 \tr
autofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpadd
fl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalb \clbrdrl \brdrnone \clbrdrr \brd
rnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx2420 \clvertalb \clb
rdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrt
b \cellx3060 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone
\clbrdrb \brdrnone \cltxlrtb \cellx4200 \clvertalb \clbrdrl \brdrnone \clbrdrr
\brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx5300 \clvertalb
\clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \clt
xlrtb \cellx6768 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdr
none \clbrdrb \brdrnone \cltxlrtb \cellx7968 \row \pard \plain \qj \li1840 \ri0
\nowidctlpar \adjustright \lin1840 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \a
f2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \chars
calex84 Golongan Darah :}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cell
}\pard \plain \qr \li0 \ri291 \nowidctlpar \adjustright \lin0 \rin291 \intbl1 \i
tap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af
4 \hich \af4 \loch \f4 A/ B/ AB/ O }{\i1 \fs18 \kerning2 \dbch \af4 \hich \af4 \
loch \f4 (Lingkari yang sesuai)}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0
\cell }\pard \plain \qj \li0 \ri0 \nowidctlpar \adjustright \lin0 \rin0 \intbl1
\itap1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs24 \kerning2 \dbch
\af2 \hich \af0 \loch \f0 \cell }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \intbl1 \itap1 \fs21 \kerning2 \dbch \af2 \hic
h \af0 \loch \af0 \trowd \trql \trgaph0 \trrh346 \trleft0 \trautofit \trftsWidth
1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trp
addfb3 \trpaddfr3 \clvertalb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brd
rnone \clbrdrb \brdrnone \cltxlrtb \cellx3060 \clvertalb \clbrdrl \brdrnone \clb
rdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx6768 \clver
talb \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone
\cltxlrtb \cellx7968 \row \pard \plain \qj \li0 \ri0 \sl-200 \slmult0 \nowidctl
par \adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch
\af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\shp {\*\shpinst \shplef
t2739 \shptop-5041 \shpright2957 \shpbottom-5041 \shpfhdr0 \shpbxcolumn \shpbxig
nore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz0 \shplid1027 {\
sp {\sn shapeType}{\sv 20}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\s
p {\sn fLockAgainstGrouping}{\sv 0}}{\sp {\sn fLockText}{\sv 0}}{\sp {\sn fLockV

erticies}{\sv 0}}{\sp {\sn fLockAspectRatio}{\sv 0}}{\sp {\sn fLockRotation}{\sv

0}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn fShadowOK}{\s
v 1}}{\sp {\sn fFilled}{\sv 0}}{\sp {\sn lineWidth}{\sv 7239}}{\sp {\sn lineStyl
e}{\sv 0}}{\sp {\sn fArrowheadsOK}{\sv 1}}{\sp {\sn fBehindDocument}{\sv 1}}{\sp
{\sn fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\fs21 \kerning2 \dbch \af2 \h
ich \af0 \loch \af0 {\shp {\*\shpinst \shpleft2739 \shptop-4859 \shpright2957 \s
hpbottom-4859 \shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara \shpbyignore \shpwr
3 \shpwrk0 \shpfblwtxt0 \shpz1 \shplid1028 {\sp {\sn shapeType}{\sv 20}}{\sp {\s
n fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn fLockAgainstGrouping}{\sv 0}
}{\sp {\sn fLockText}{\sv 0}}{\sp {\sn fLockVerticies}{\sv 0}}{\sp {\sn fLockAsp
ectRatio}{\sv 0}}{\sp {\sn fLockRotation}{\sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp
{\sn fFillOK}{\sv 0}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn fFilled}{\sv 0}}{\sp
{\sn lineWidth}{\sv 7239}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn fArrowheadsOK}{
\sv 1}}{\sp {\sn fBehindDocument}{\sv 1}}{\sp {\sn fLayoutInCell}{\sv 1}}}{\shpr
slt {\pict }}}}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\shp {\*\shpin
st \shpleft2745 \shptop-5047 \shpright2746 \shpbottom-4853 \shpfhdr0 \shpbxcolum
n \shpbxignore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz2 \shp
lid1029 {\sp {\sn shapeType}{\sv 20}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{
\sv 0}}{\sp {\sn fLockAgainstGrouping}{\sv 0}}{\sp {\sn fLockText}{\sv 0}}{\sp {
\sn fLockVerticies}{\sv 0}}{\sp {\sn fLockAspectRatio}{\sv 0}}{\sp {\sn fLockRot
ation}{\sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn fSh
adowOK}{\sv 1}}{\sp {\sn fFilled}{\sv 0}}{\sp {\sn lineWidth}{\sv 7239}}{\sp {\s
n lineStyle}{\sv 0}}{\sp {\sn fArrowheadsOK}{\sv 1}}{\sp {\sn fBehindDocument}{\
sv 1}}{\sp {\sn fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\fs21 \kerning2 \db
ch \af2 \hich \af0 \loch \af0 {\shp {\*\shpinst \shpleft2952 \shptop-5047 \shpri
ght2953 \shpbottom-4853 \shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara \shpbyign
ore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz3 \shplid1030 {\sp {\sn shapeType}{\sv 20
}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn fLockAgainstGroupi
ng}{\sv 0}}{\sp {\sn fLockText}{\sv 0}}{\sp {\sn fLockVerticies}{\sv 0}}{\sp {\s
n fLockAspectRatio}{\sv 0}}{\sp {\sn fLockRotation}{\sv 0}}{\sp {\sn WrapText}{\
sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn fFilled}{\
sv 0}}{\sp {\sn lineWidth}{\sv 7239}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn fArro
wheadsOK}{\sv 1}}{\sp {\sn fBehindDocument}{\sv 1}}{\sp {\sn fLayoutInCell}{\sv
1}}}{\shprslt {\pict }}}}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\shp
{\*\shpinst \shpleft4496 \shptop-5039 \shpright4716 \shpbottom-5039 \shpfhdr0 \
shpbxcolumn \shpbxignore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \
shpz4 \shplid1031 {\sp {\sn shapeType}{\sv 20}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\s
n fFlipV}{\sv 0}}{\sp {\sn fLockAgainstGrouping}{\sv 0}}{\sp {\sn fLockText}{\sv
0}}{\sp {\sn fLockVerticies}{\sv 0}}{\sp {\sn fLockAspectRatio}{\sv 0}}{\sp {\s
n fLockRotation}{\sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\s
p {\sn fShadowOK}{\sv 1}}{\sp {\sn fFilled}{\sv 0}}{\sp {\sn lineWidth}{\sv 7239
}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn fArrowheadsOK}{\sv 1}}{\sp {\sn fBehindD
ocument}{\sv 1}}{\sp {\sn fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\fs21 \ke
rning2 \dbch \af2 \hich \af0 \loch \af0 {\shp {\*\shpinst \shpleft4496 \shptop-4
859 \shpright4716 \shpbottom-4859 \shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara
\shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz5 \shplid1032 {\sp {\sn shapeTy
pe}{\sv 20}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn fLockAga
instGrouping}{\sv 0}}{\sp {\sn fLockText}{\sv 0}}{\sp {\sn fLockVerticies}{\sv 0
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dbch \af4 \hich \af4 \loch \f4 Menyerahkan dokumen lengkap paling lambat 1 (satu
) bulan sebelum keberangkatan }{\fs17 \kerning2 \dbch \af3 \hich \af3 \loch \f3
\par }\pard \plain \qj \li0 \ri0 \sl-134 \slmult0 \nowidctlpar \adjustright \lin
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\dbch \af2 \hich \af0 \loch \af0 \f0 {\uc1 \u48 ?}\tab }{\fs18 \kerning2 \dbch
\af4 \hich \af4 \loch \f4 Membayar Uang muka sebesar USD 500.00 (lima ratus US D
ollar) pada saat pendaftaran }{\fs17 \kerning2 \dbch \af3 \hich \af3 \loch \f3 \
par }\pard \plain \qj \li0 \ri0 \sl-138 \slmult0 \nowidctlpar \adjustright \lin0
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\af0 {\fs17 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \uc1 \u8230 ?\uc1 \u8230 ?
\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\u
c1 \u8230 ?,\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?..................}{\fs21 \ke
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\f0 \tab }{\fs15 \kerning2 \dbch \af4 \hich \af4 \loch \f4 Calon Jamaah,}{\fs21
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\rin0 \tql \tx4720 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs1
8 \kerning2 \dbch \af4 \hich \af4 \loch \f4 ...............................}{\fs
21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \tab }{\fs18 \kerning2 \dbch \af4 \
hich \af4 \loch \f4 ....................................}{\fs21 \kerning2 \dbch
\af2 \hich \af0 \loch \f0 \par }}