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PENDAFTARAN SISWA BARU
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FORMULIR PENDAFTARAN SISWA BARU YPP BANU HASYIM TAHUN 2015 - 2016
PILIH FORMULIR UNTUK DAFTAR
MTs
MA
DINIYAH
PONDOK PESANTREN
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NAMA LENGKAP
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TEMPAT LAHIR
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TANGGAL LAHIR
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JENIS KELAMIN
Laki Laki
Perempuan
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AGAMA
Islam
Kristen
Hindu
Buda
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STATUS DALAM KELUARGA
Anak Kandung
Anak Tiri
Anak Angkat
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ASAL SEKOLAH
MI
SD
MTs
SMP
Paket B
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ALAMAT SEKOLAH ASAL
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TAHUN IJAZAH
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NOMOR IJAZAH
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NAMA AYAH
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PENDIDIKAN AYAH
SD/MI
SMP/MTs
SMA/MA
S1
S2
S3
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PEKERJAAN AYAH
PNS
GURU
TNI
POLISI
WIRASWASTA
LAINYA.......
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NAMA IBU
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PENDIDIKAN IBU
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PEKERJAAN IBU
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ALAMAT
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KODE POS
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NOMOR TELEPON/HP
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NAMA WALI
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PEKERJAAN WALI
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