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FORMULIR PENDAFTARAN PESERTA DIDIK BARU 2024/2025
ISI INFORMASI DIBAWAH INI DENGAN SEBENARNYA SESUAI DATA KEPENDUDUKAN
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I . DATA PRIBADI
NAMA
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Your answer
TEMPAT/TANGGAL LAHIR
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Your answer
NISN
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Your answer
ASAL SEKOLAH SMP/MTs/PAKET B
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ALAMAT
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Your answer
DESA/KELURAHAN
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RT/RW
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KECAMATAN
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KABUPATEN/KOTA
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PROVINSI
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Nomor TELP/HP
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Your answer
NIK
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Your answer
Nomor. KK
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Your answer
II. DATA ORANG TUA/WALI
NAMA AYAH
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Your answer
NIK
Your answer
PEKERJAAN AYAH
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Your answer
NAMA IBU
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Your answer
NIK
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PEKERJAAN IBU
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Apakah anda penerima KIP/PKH/KPS?
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