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Tahun Pelajaran 2017/2018
Jenis Pendaftaran
Tanggal Masuk Sekolah
MM
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DD
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YYYY
NIS
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Nomor Peserta ujian
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Apakah Pernah Paud
Apakah Pernah TIK
No Seri SKHUN Sebelumnya
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No Seri IJazah Sebelumnya
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Cita - Cita
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Nama Lengkap
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Jenis Kelamin
NISN
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NIK
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Tempat Tanggal Lahir
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Tanggal Lahir
MM
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DD
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YYYY
Agama
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Alamat
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RT dan RW
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Nama Dusun
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Nama Kelurahan
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Tempat tinggal
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Nomor HP yang bisa dihubungi
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Penerima KPS/PKH/KIP
No.KPS/KKS/PKH/KIP
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Kewarganegaraan
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Nama Ayah Kandung
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Tahun Lahir
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Pendidikan
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Pekerjaan
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Penghasilan Perbulan
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Nama IBu Kandung
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Tahun Lahir
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Pendidikan
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Penghasilan Perbulan
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Tinggi Badan
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berat badan
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Jumlah Saudara
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