FORMULIR PENDAFTARAN
Calon Peserta Didik Baru
DATA PENDAFTAR
(isi dengan lengkap sesuai data pendaftar)
NAMA LENGKAP *
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NISN
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JENIS KELAMIN
TEMPAT
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TANGGAL LAHIR
MM
/
DD
/
YYYY
ALAMAT RUMAH
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ASAL SEKOLAH
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TAHUN LULUS
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NO. HANDPHONE / TLP. RUMAH
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AGAMA
JUMLAH SAUDARA (ADIK)
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JUMLAH SAUDARA (KAKAK)
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HOBI / MINAT / BAKAT
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