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FORMULIR PENDAFTARAN PESERTA DIDIK BARU MADRASAH - MAN 1 PONOROGO TAHUN PELAJARAN 2024/2025 Gelombang 2
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Jalur Pendaftaran
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Reguler
Nama Lengkap
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NISN
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Jenis Kelamin
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Laki-Laki
Perempuan
Tempat Lahir
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Tanggal Lahir
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MM
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DD
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YYYY
Alamat
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Desa/Kelurahan
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Kecamatan
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Kabupaten
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Asal Sekolah
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No HP/WA yang bisa Dihubungi
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Nama Orang Tua
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NO HP Orang Tua
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PILIHAN KETERAMPILAN
(Jurusan Animasi, Desain Grafis, Multimedia, Rekayasa Perangkat Lunak Masuk tergabung pilihan di KOMPUTER)
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TATA BUSANA
TATA BOGA
KOMPUTER
PRESTASI 1
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TINGKAT PRESTASI 1
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Kabupaten
Provinsi
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PRESTASI 2
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TINGKAT PRESTASI 2
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Kabupaten
Provinsi
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