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  • Rukun Tetangga

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    Danx Exodus
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    RUKUN TETANGGA

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    174 views1 page

    Rukun Tetangga

    Uploaded by

    Danx Exodus

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    RUKUN TETANGGA …. RW. 05 KP.

    BOJONG KONENG
    DESA BOJONGMANGGU KECAMATAN PAMEUNGPEUK
    KABUPATEN BANDUNG

    SURAT KETERANGAN PINDAH


    Nomor : …../ ……../ 20…..

    1. Nama Lengkap : ……………………………….


    2. Jenis Kelamin : ……………………………….
    3. Tempat/Tgl,Lahir : ……………………………….
    4. Kewarganegaraan : ……………………………….
    5. Agama : ……………………………….
    6. Status Perkawinan : ……………………………….
    7. Pekerjaan : ……………………………….
    8. Pendidikan : ……………………………….
    9. Alamat Asal : Kp. Bojongkoneng RT…../RW.05 Desa Bojongmanggu
    Kecamatan Pameungpeuk Kabupaten Bandung
    10. Pindah Pada Tanggal : ……………………………….
    11. Alas an Pindah : ……………………………….
    12. Pengikut : …………… orang, yaitu

    No Nama Kelamin Umur Status Pendidikan No KTP Ket


    Urut L P Perkawinan

    Mengetahui :
    Ketua RW.05 Kp.Bojongkoneng Bojongkoneng …………….200
    Ketua RT …../RW.05

    SUKARNA.AGUS ODANG

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