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Form Kesedian Wakaf / Donasi Secara Autodebet.
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Email
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Your email
Nama
*
Your answer
Fakultas/Unit Kerja
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Your answer
No Hp
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Your answer
Pilih Program
Donasi Umum
Wakaf
Clear selection
Bersedia utk autodebet:
*
Ya
Tidak
Jumlah Donasi
*
Your answer
Jangka Waktu
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1 Th
5 Th
10 Th
Sampai Pensiun
Selamamya
Other:
Periode (.......sd........)
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