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Isi Formulir Pendaftaran
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Pendaftaran
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Pesantren Darul Ulum Sekampung
STIS Darul Ulum Lam-Tim
SMK Darul Ulum Sekampung
MA Ma'arif NU 5 Sekampung
SMP Darul Ulum Sekampung
MTs Ma'arif NU 5 Sekampung
MI Ma'arif NU 5 Sekampung
TK Ma'arif NU 5 Sekampung
Nama
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Your answer
Tempat Lahir
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Your answer
Tanggal Lahir
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MM
/
DD
/
YYYY
Alamat Lengkap
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Your answer
Nama Ayah Kandung
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Your answer
NIK Ayah Kandung
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Your answer
Nama Ibu Kandung
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Your answer
NIK Ibu Kandung
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Your answer
Nama Wali
*
Your answer
No NISN
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Your answer
No NIK
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Your answer
No KK
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Your answer
No Hp Aktif (WA)
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Your answer
Asal Sekolah
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Your answer
Tahun lulus
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Your answer
Apakah Memiliki KIP / PIP
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YA
TIDAK
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