FORM PENDAFTARAN ALUMNI
Nama Lengkap
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Nama Panggilan
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Tempat Lahir
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Tanggal Lahir
MM
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DD
/
YYYY
Jenis Kelamin
Pendidikan Terakhir
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Pekerjaan
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Instansi
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Jabatan
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Tahun Tamat
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No. Hp
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Alamat Lengkap
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Domisili
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E-mail
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Facebook/Instagram/Twitter
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PERNYATAAN
Bahwa informasi yang saya berikan dalam form registrasi alumni SMK SMAK PADANG adalah BENAR.
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