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daftar isi - BNPB

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Lampiran - 01IDENTIFIKASI JUMLAH KELUARGADI SETIAP TITIK PENAMPUNGANNama kepala keluarga : ..............................................................Alamat/Tempat Penampungan : ..............................................................Jumlah anggota keluarga : ........................................................jiwaRincian anggota keluarga :NoKelompok Umur(tahun)1. < 12. 1 - 53. 6 - 124. 13 - 175. 18 – 596. 60 ≤JUMLAHLaki lakiJumlahPerempuanKeterangan(Hamil, Menyusui,Kelainan Khusus, dll)

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