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Formulir Pendaftaran
Formulir Data Diri Anak
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Nama Lengkap
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Your answer
Nama Panggilan
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Your answer
Tempat/Tanggal Lahir
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Your answer
Jenis Kelamin
*
Laki-laki
Perempuan
Agama
*
Your answer
Anak Ke
*
Your answer
Jumlah Saudara
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Your answer
Anak Tinggal Bersama
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Ayah
Ibu
Kakek
Nenek
Paman
Bibi
Lainnya sebutkan
Kepemilikan Tempat Tinggal
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Milik Sendiri
Kontrak
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