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PENDATAAN GURU SMA BELUM BERIJAZAH S1
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NOMOR KUNCI PTK
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NAMA LENGKAP TANPA GELAR
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KODE SEKOLAH
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NAMA SEKOLAH
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ALAMAT SEKOLAH
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N U P T K
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TEMPAT LAHIR
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TANGGAL LAHIR
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STATUS GURU
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GURU PNS
GURU NON PNS
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PENDIDIKAN TERAKHIR
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SLTA
DIPLOMA
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BIDANG STUDI YANG DIAMPU
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MELANJUTKAN STUDI S1?
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LEWATI ISIAN YANG TIDAK WAJIB APABILA MENJAWAB TIDAK
YA
TIDAK
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NAMA PERGURUAN TINGGI
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ALAMAT PERGURUAN TINGGI
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JURUSAN S1 YANG DITEMPUH
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TAHUN MASUK S1
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SEMESTER SAAT INI
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IPK TERAKHIR
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NOMOR REKENING BPD, PENULISAN: 123 123 123456
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NAMA TERTULIS DI REKENING
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NPWP
APABILA BELUM MEMILIKI KETIK TIDAK ADA
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NOMOR HP PRIBADI, DITULIS HANYA ANGKA TANPA SPASI ATAU KARAKTER APAPUN
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