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FORM SPMB SD NEGERI 02 HARJO MULYO
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NAMA LENGKAP
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JENIS KELAMIN
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LAKI-LAKI
PEREMPUAN
TEMPAT LAHIR
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TANGGAL LAHIR
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MM
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DD
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YYYY
ASAL SEKOLAH
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TAHUN LULUS
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NAMA AYAH
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NAMA IBU
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E-MAIL (Boleh menggunakan e-mail pribadi atau sekolah)
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NOMOR HP/WA ORANG TUA/WALI
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