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Form Input Registrasi Siswa
form ini digubnakan untuk menginput data registrasi siswa
* Indicates required question
Nama Lengkap
*
tuliskan nama anda menggunakan kaidah EYD
Your answer
Nomor Induk
Masukkan Nomor Induk Anda
Your answer
Kelas
*
Choose
XII AP 1
XII AP 2
XII AP 3
XII AP 4
XII PS 1
XII PS 2
XII PS 3
XII PS 4
Opsi 9
Jenis Kelamin
*
Choose
Laki-laki
Perempuan
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
Agama
*
Islam
Katholik
Protestan
Hindu
Budha
Khonghuchu
Required
Alamat
*
Tuliskan Alamat lengkap Anda
Your answer
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