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ព្រះរាជាណាចក្រកម្ពុជា
ជាតិ សាសនា ព្រះមហាក្សត្រ
ប័ណ្ណសម្គាល់ខ្លួន
បុគ្គលិកកំពង់ផែស្វយ័តភ្នំពេញ
អត្តលេខ
:
គោត្តនាម និងនាម
:
អក្សរឡាតាំង
:
ភេទ
:
ថ្ងៃ ខែ ឆ្នាំកំនើត
:
អង្គភាព
:
តួនាទី
: