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FORMULIR PPDB SMA NURUL MUSLIM 2024/2025
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DATA PRIBADI
NAMA LENGKAP
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JENIS KELAMIN
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NIK (Lihat di Kartu Keluarga)
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NOMOR KK (Lihat di Kartu Keluarga)
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TEMPAT TANGGAL LAHIR
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NOMOR REGISTRASI AKTA LAHIR (Lihat di Akta Kelahiran)
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AGAMA
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ALAMAT
Desa Dukuh, RT, RW, Kecamatan
Desa Dukuh, RT, RW, Kecamatan
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ANAK KE BERAPA DALAM KELUARGA?
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STATUS ANAK DALAM KELUARGA
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ASAL SEKOLAH SMP/MTs
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ALAMAT SEKOLAH (DESA)
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DATA ORANGTUA
NAMA AYAH
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NIK AYAH
(Lihat di Kartu Keluarga)
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PEKERJAAN AYAH
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NOMOR WA AYAH
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NAMA IBU
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NIK IBU
(Lihat di Kartu Keluarga)
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PEKERJAAN IBU
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NOMOR WA IBU
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DATA RINCI SISWA
NOMOR WA SISWA
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EMAIL
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TINGGI BADAN
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BERAT BADAN
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LINGKAR KEPALA
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JUMLAH SAUDARA KANDUNG
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HOBI
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CITA-CITA
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Mohon nanti datang ke SMA Nurul Muslim Batealit untuk mengumpulkan berkas pendaftaran berupa:
APAKAH DATA SUDAH BENAR?
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