Pendaftaran Anggota

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PENDAFTARAN SINJI

Anda alumni SMP Negeri 1 Turen - Malang ??
Bergabunglah dengan kami bersama ratusan alumni yang lain.
Isilah form dibawah ini untuk memudahkan komunikasi dan penyampaian informasi

• Nomor Register Anggota (NRA)
  Register member number
  
  

  Diisi oleh Admin.
  Filled by the board
• Nama Lengkap
  Full Name *
• Upload Foto Anda
  
  

  Harap mengupload foto anda sendiri, dan tampak depan, agar mudah dikenal. (Bukan foto anak, istri, atau orang lain)
• Lulus Tahun / Angkatan :
  What year you graduated : *
• Alamat Lengkap :
  Where you live now : *
  Jln. / Street Address Address Line 2 Kota / City Propinsi / State / Province / Region Kode Pos / Postal/Zip Code   Antigua and Barbuda Aruba Bahamas Barbados Belize Canada Cook Islands Costa Rica Cuba Dominica Dominican Republic El Salvador Grenada Guatemala Haiti Honduras Jamaica Mexico Netherlands Antilles Nicaragua Panama Puerto Rico Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago United States Argentina Bolivia Brazil Chile Colombia Ecuador Guyana Paraguay Peru Suriname Uruguay Venezuela Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Faroe Islands Finland France Georgia Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Macedonia Malta Moldova Monaco Montenegro Netherlands Norway Poland Portugal Romania San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Ukraine United Kingdom Vatican City Afghanistan Bahrain Bangladesh Bhutan Brunei Darussalam Myanmar Cambodia China East Timor Hong Kong India Indonesia Iran Iraq Israel Japan Jordan Kazakhstan North Korea South Korea Kuwait Kyrgyzstan Laos Lebanon Malaysia Maldives Mongolia Nepal Oman Pakistan Palestine Philippines Qatar Russia Saudi Arabia Singapore Sri Lanka Syria Taiwan Tajikistan Thailand Turkey Turkmenistan United Arab Emirates Uzbekistan Vietnam Yemen Australia Fiji Kiribati Marshall Islands Micronesia Nauru New Zealand Palau Papua New Guinea Samoa Solomon Islands Tonga Tuvalu Vanuatu Algeria Angola Benin Botswana Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Democratic Republic of the Congo Republic of the Congo Djibouti Egypt Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Gibraltar Guinea Guinea-Bissau Cote d'Ivoire Kenya Lesotho Liberia Libya Madagascar Malawi Mali Mauritania Mauritius Morocco Mozambique Namibia Niger Nigeria Rwanda Sao Tome and Principe Senegal Seychelles Sierra Leone Somalia South Africa Sudan Swaziland United Republic of Tanzania Togo Tunisia Uganda Zambia Zimbabwe Negara / Country
  
• Email *
• Nomor Telp.
  Number Phone
  
  

  Nomor telephone anda akan di tampilkan di
  www.solidaritasalumnismpn1.blogspot.com
  dengan format 3 angka diacak.
  Contoh : 021-45841***
• Nomor HP :
  Mobile Phone
  
  

  Nomor Handphone anda akan di tampilkan di
  www.solidaritasalumnismpn1.blogspot.com
  dengan format 3 angka diacak.
  Contoh : 082112192***
• Kategori Keanggotaan
  Type of Membership *
  -- Pilih -- Pengurus SINJI Anggota
• Hubungi saya tentang berita dan event
  Please contact me about news and events *
  Ya / Yes

  Tidak / No
• Dengan sadar dan tanpa paksaan dari pihak manapun,
  Saya telah mengisi formulir pendaftaran dan
  membaca serta menyetujui Ketentuan Organisasi
  
  Knowingly and without coercion from any side,
  I have filled out the registration form and read
  and agree to the Terms Organization *
  Ya, Saya Setuju. Yes, I agree.
• Pesan Kesan, Kritik dan Saran :
  Impression message, criticisms and suggestions
• Image Verification
  

  Please enter the text from the image:

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