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FORMULIR PENDAFTARAN SANTRI BARU PP. RIBATH AL-MALIKI
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Nama
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Tempat lahir
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Tanggal lahir
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MM
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DD
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YYYY
Alamat Lengkap
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Nama sekolah sebelumnya
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Apakah calon santri pernah mondok atau sekolah di madrasah diniyah sebelumnya?
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Pernah
Tidak pernah
Jika pernah, sebutkan nama dan tempat pondok atau madrasah diniyah sebelumnya
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Nama kedua orang tua
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Nomor HP
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