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Marine Equilibrium

YAYASAN
Highest Human Prosperity
TAKA

FORM PERSONAL IDENTITY


Nama :

Alamat :

Status :

Jumlah Anak :

No Rekening :

Nama Bank :

Cabang Bank :

Personal Account Bank :

Alamat Kantor :
Citra Pesona, Blok C 10, Jabungan, Banyumanik, Semarang, Central Java, Indonesia
Phone : +62 (024) 76403827 ; Email : taka@taka.or.id ; Website : www.taka.or.id

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