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PENDAFTARAN PSB ONLINE 2018/2019
PESANTREN MINHAJ SHAHABAH
Nama Peserta Didik *
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Asal Sekolah *
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Alamat *
Your answer
Tingkat Pendaftaran *
Jenis Kelamin *
NISN (lihat dilaman nisn.kemdikbud.go.id) *
Your answer
NIK (nomer induk kependudukan) Kartu Keluarga *
Your answer
Tempat Lahir *
Your answer
Tanggal Lahir *
MM
/
DD
/
YYYY
Agama *
Your answer
DATA ORANG TUA
Nama Ayah *
Your answer
NIK (nomer induk kependudukan) Kartu Keluarga *
Your answer
Tahun Lahir Ayah *
Your answer
Jenjang Pendidikan *
Pekerjaan *
Your answer
Penghasilan *
Your answer
Nomer HP *
Your answer
Nama Ibu *
Your answer
NIK (nomer induk kependudukan) Kartu Keluarga *
Your answer
Tahun Lahir Ibu *
Your answer
Jenjang Pendidikan *
Pekerjaan *
Your answer
Nomer HP *
Your answer
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