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Penerimaan Siswa Baru ( PSB ) Tahun Ajaran 2014/2015
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1. Nama Lengkap
Sesuai Ijasah
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2. Agama
Islam
Kristen
Khatolik
Hindu
Budha
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3. Jenis Kelamin
Lk ( Laki - laki )
Pr ( Perempuan )
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4. Papua / Non papua
Papua
Non Papua
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5. Tempat Tanggal Lahir
MM
/
DD
/
YYYY
6. Alamat Orang Tua
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7. Asal Sekolah
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8. No.SKHUN / No.Peserta Ujian UN ( SD )
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9. Hobby / Kegemaran
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10. Cita Cita
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