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FORMULIR PENDAFTARAN YAYASAN PENDIDIKAN ISLAM AS SA'ADAH
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NIK
terdiri dari 16 digit ,contoh pengisian : 3516146401010002
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NAMA LENGKAP SISWA
*
di isi nama lengkap sesuai akte kelahiran
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JENIS KELAMIN
*
Laki - laki
Perempuan
TANGGAL LAHIR
*
isi sesuai format "TANGGAL-BULAN-TAHUN"
MM
/
DD
/
YYYY
NISN
bila ada
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TEMPAT LAHIR
*
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AGAMA
*
Choose
ISLAM
KRISTEN/PROTESTAN
KATHOLIK
HINDU
BUDHA
LAINNYA
BERMINAT MENDAFTAR KE JENJANG
*
Pilih jenjang :
PLAY GROUP
RA
SD
MTs
DAY CARE / Penitipan Anak
Other:
KELAS
*
Pilihan Kelas yang akan di daftar :
Choose
PG
TK A
TK B
1
2
3
4
5
6
7
8
9
ASAL PG/RA/SD/MTs
*
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ALAMAT
*
HARAP DI ISI DENGAN LENGKAP DAN JELAS !
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KECAMATAN
*
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KOTA / KABUPATEN
*
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NAMA ORANG TUA
*
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PEKERJAAN
*
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NOMOR TELEPON
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