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FORMULIR PENDAFTARAN SISWA BARU
SMP NEGERI 3 WAESALA
TAHUN 2019-2020
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Email
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NAMA LENGKAP
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JENIS KELAMIN
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LAKI - LAKI
PEREMPUAN
Other:
N I S N
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N I K
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TEMPAT LAHIR
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TANGGAL LAHIR
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MM
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DD
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YYYY
TINGGI BADAN (Cm)
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BERAT BADAN (cm)
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JUMLAH SAUDARA KANDUNG
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ANAK KEBERAPA (berdasarkan KK)
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NO KIP(bagi yang memiliki KIP)
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ALAMAT (Jalan, RT/RW, Dusun, Desa, Kecamatan & kabupaten)
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NOMOR KONTAK (NO.HP)
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