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Formulir Pendaftaran Mts Ittihadil Ummah
Pendaftaran Siswa Baru Madrasah Tsanawiyah Ittihadil Ummah
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Nama Siswa (Sesuai Ijazah)
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Your answer
Nomor NISN
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Your answer
Nama Sekolah Asal
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Tanggal Lahir
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MM
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DD
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YYYY
Tempat Lahir
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Alamat Domisili Siswa
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Nama Ayah
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Tanggal Lahir Ayah
MM
/
DD
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YYYY
NIK Ayah
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Alamat Domisili Ayah
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No. Telepon
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Pendidikan Terakhir Ayah
Kejar Paket A,B,C
SD
SMP
SMU/SMU
Sarjana
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Pekerjaan Ayah
Wiraswasta
Swasta
PNS
TNI/POLRI
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Nama Ibu
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Tanggal Lahir Ibu
MM
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DD
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YYYY
NIK IBU
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Alamat Domisili Ibu
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No. Telepon
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Pendidikan Terakhir Ibu
Kejar Paket A,B,C
SD
SMP
SMU
Sarjana
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Pekerjaan Ibu
Wiraswasta
Swasta
PNS
TNI/POLRI
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Nama Wali
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Tanggal Lahir Wali
MM
/
DD
/
YYYY
NIK Wali
Your answer
Alamat Domisili Wali
Your answer
No.Telepon
Your answer
Pendidikan Terakhir Wali
Kejar Paket A,B,C
SD
SMP
SMU
Sarjana
Clear selection
Pekerjaan Wali
Wiraswasta
Swasta
PNS
TNI/POLRI
Clear selection
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