FORMULIR NGIRING atanapi HENTEUNA KA HBH/KONGRES KUSnet 2005
26-27 Nopember 2005

Ngiringan 

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                                : Bade

Nami                                 : ASEP KUSMAYADI
Padumukan                                : Taman Mulasakti Indah Blok P5/12A.
Bekasi 17125
I-mél                                        : [EMAIL PROTECTED]
No. telpon / Hapé                : 0817-0017-870
Jumlah nu bade sumping         : 2 dewasa & 2 murangkalih
Kendaraan                                 : Mobil

Hatur nuhun ka sadayana .....
Salam.

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