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PENDAFTARAN ONLINE
Penerimaan Peserta Didik Baru SMA Swasta An-Nizam Medan tahun pelajaran 2025/2026. Harap mengisikan semua pertanyaan dengan data yang benar.
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Email
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NAMA LENGKAP
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NAMA PANGGILAN
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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 SMP
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JENIS KELAMIN
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LAKI-LAKI
PEREMPUAN
NISN
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NIK
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NOMOR KARTU KELUARGA
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ALAMAT RUMAH
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KECAMATAN
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DESA/KELURAHAN
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KODE POS
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TEMPAT TINGGAL
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BERSAMA ORANG TUA
BERSAMA WALI
TRANSPORTASI
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MOBIL
SEPEDA MOTOR
OJEK
ANGKUTAN UMUM
JALAN KAKI
JARAK RUMAH KE SEKOLAH
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KURANG DARI 1 KM
LEBIH DARI 1 KM
TINGGI BADAN
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BERAT BADAN
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HOBI
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CITA-CITA
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JUMLAH SAUDARA KANDUNG
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ANAK KE BERAPA
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ALAMAT EMAIL
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NOMOR HANDPHONE/WHATSAPP
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