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Pilih Code N (peserta baru), C (perubahan data), Re-print (kartu rusak/hilang)
N
C
Re-Print
CLASS NO
MEMBERSHIP
Isi Dengan Code EMP (Employee) SPO (spouse/pasangan) CHI (child)
EMP
SPO
CHI
EMPLOYEE ID
CENSUS NO
Isi Kode 0 (karyawan); 1 (istri/suami); 2 (anak ke-1); 3 (anak ke-2); 4 dst (anak ke-3 dst)
1
2
3
4
AREA
EMPLOYEE NAME
MEMBER NAME
GENDER
Pilih sesuai dengan jenis kelamin peserta (M (male) / F (female) )
Male
Female
BIRD PLACE
BIRD DATE
TELPON
REQUEST DATE
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