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PB ACADEMY BASKETBALL

CLUB

BIODATA
Nama :…………………………………………………………………………………
Tempat tanggal lahir :……………………………………………………………………………………
Jenis kelamin : (P / L)
Umur :……
Alamat lengkap :……………………………………………………………………………………
……………………………………………………………………………………
……………………………………………………………………………………
No Telepon :……………………………………………………………………………............
Tinggi /Berat badan :………………/…………………….

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