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BIODATA SISWA
ISI DATA DIBAWAH INI DENGAN BENAR DAN SESUAI PETUNJUK
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* Indicates required question
NAMA LENGKAP
*
Masukan nama sesuai ijazah (Huruf Kapital)
Your answer
NAMA PANGGILAN
*
Huruf Awal diketik kapital
Your answer
NISN
*
Masukan max 10 digit
Your answer
JENIS KELAMIN
*
Choose
Laki - laki
Perempuan
JURUSAN
*
Choose
Teknik Instalasi Pemanfaatan Tenaga Listrik
Teknik Pengelasan
Teknik Kendaraan Ringan
Teknik Sepeda Motor
Teknik Audio Video
Teknik Komputer dan Jaringan
TEMPAT LAHIR
*
Your answer
TANGGAL LAHIR
*
MM
/
DD
/
YYYY
AGAMA
*
Choose
Islam
Katolik
Protestan
Hindu
Budha
ALAMAT SISWA
*
Diisi sesuai tempat tinggal
Your answer
KELURAHAN
*
Your answer
KECAMATAN
*
Your answer
KABUPATEN
*
Your answer
KODE POS
Your answer
NO HANDPONE SISWA
Your answer
E-MAIL SISWA
Your answer
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