FORMULIR PENDATAAN SISWA BARU

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Nama *

contoh Nur Syahid

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Tempat dan tanggal lahir *

Yogyakarta, 21 Maret 1990

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Alamat *

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Jenis Kelamin *

Laki-laki

Perempuan

Asal SLTP *

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Nama Ayah *

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Nama Ibu *

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Hobi *

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