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Formulir Registrasi untuk Anak
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Identitas Diri
Nama Lengkap
*
Jenis Kelamin *
No. Kartu Identitas Anak/No. KTP
*
Tempat, tanggal lahir
*
Usia
*
Anak ke ... dari ... bersaudara
*
Alamat sesuai Identitas
*
Alamat domisili
*
No. HP/WhatsApp
*
Email
*
Agama/Kepercayaan
*
Pendidikan Terakhir
*
Sekolah
*
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