FORMULIR PPDB MI PERGURUAN MU'ALLIMAT
TAHUN PELAJARAN 2021/2022
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PENGISIAN MEMAKAI HURUF KAPITAL
NAMA LENGKAP
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NAMA PANGGILAN
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JENIS KELAMIN
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LAKI-LAKI
PEREMPUAN
TEMPAT LAHIR
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TANGGAL LAHIR (CONTOH : 14/04/2016)
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NAMA AYAH
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NAMA IBU
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ALAMAT SESUAI IDENTITAS KARTU KELUARGA
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PENDAFTAR
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NOMOR HP (WHASTAPP)
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