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Form Input Data Siswa Kelas XII PS/AP
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Wanda Julia Agustiany
Masukan Nama Lengkap Anda
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Jenis Kelamin
Laki-Laki
Perempuan
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NIS
Nomer Induk Siswa
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Kelas
XII PS1
XII PS2
XII PS3
XII PS4
XII AP1
XII AP2
XII AP3
XII AP4
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Agama
Islam
Kristen Katholik
Kristen Protestan
Hindu
Budha
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Tempat Lahir
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Tanggal Lahir
MM
/
DD
/
YYYY
Alamat
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Mobile Phone
Nomer yang bisa dihubungi
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