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Formulir Pendaftaran Siswa Baru SMP PLUS DARUSSALAM
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Nama Lengkap
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Jenis Kelamin
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Laki-Laki
Perempuan
Tempat, Tanggal Lahir
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MM
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Agama
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Islam
Kristen
Budha
Hindu
Konghucu
Alamat Asal
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RT/RW
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Desa
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Kecamatan
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Kabupaten
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Kode POS
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Nama Ayah Kandung
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Nama Ibu Kandung
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No. HP
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