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Pendaftaran Online Siswa/Santri SMP IT ISTANA MULIA
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Nama Lengkap Calon Siswa
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TTL Calon Siswa
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Nama Dan Alamat Sekolah Asal
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Nama Lengkap Wali Siswa
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Aalamat Tinggal
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No. Telephone Rumah
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Pekerjaan
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Jabatan Dan Divisi Pekerjaan
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No. Telephone Kantor
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No. HP
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Alamat Email
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Status Orang Tua
Kel Utuh
Bercerai
Ayah Almarhum
Ibu Almarhum
Lainya
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Pilihan Program
Plus Donatur Yatim dan Dhuafa
Reguler
Beasiswa Yatim
Beasiswa Dhuafa Beprestasi
Lainnya
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Kesanggupan Biaya (terlampir)
100%
75%
25%
0%
Lainya
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Sumber Informasi Istana Mulia ?
Internet
Wali Santri
Teman
Lainya
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Daftar Prestasi Calon Siswa
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Penyakit Berat / Sedang/Ringan yang pernah diderita Siswa
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Apakah Anda Bersedia Menjadi Wali Yatim (donatur) ?
Belum Bersedia
Bersedia > 3 Yatim
Bersedia 2 Yatim
Option 4
Bersedia 1 Yatim
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Masukan, Usulan, Pertanyaan untuk Istana Mulia ?
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