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Pendaftaran Peserta Didik Baru 2020-2021
Formulir Pendaftaran Peserta Didik Baru Tahun Pelajaran 2020-2021 SMK Mohamad Toha Kota Cimahi
(Isilah formulir dengan menggunakan huruf KAPITAL)
*Kosongkan data jika tidak perlu
web :
smkmohamadtohacimahi.sch.id
Jl. Nanjung - Cibodas No. 164 (blk) Telp. (022) 86692311 RT 04 RW 11 Kel. Utama, Kec. Cimahi Selatan - Kota Cimahi
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NAMA LENGKAP
*
Your answer
NISN
Your answer
ASAL SEKOLAH
*
Your answer
TEMPAT LAHIR
*
Your answer
TANGGAL LAHIR
*
MM
/
DD
/
YYYY
ALAMAT TEMPAT TINGGAL
*
Your answer
NO. TELP/HP (CALON SISWA)
*
Your answer
JURUSAN/KOMPETENSI KEAHLIAN
*
(TKJ) TEKNIK KOMPUTER DAN JARINGAN
(OTKP) OTOMATISASI TATA KELOLA PERKANTORAN
(BDP) BISNIS DARING DAN PEMASARAN
NAMA ORANG TUA (AYAH)
Your answer
NO. TELP/HP (AYAH)
Your answer
ALAMAT (AYAH)
Your answer
PEKERJAAN (AYAH)
Your answer
NAMA ORANG TUA (IBU)
Your answer
NO. TELP/HP (IBU)
Your answer
ALAMAT (IBU)
Your answer
PEKERJAAN (IBU)
Your answer
NAMA WALI (AYAH)
Your answer
NO. TELP/HP WALI (AYAH)
Your answer
ALAMAT WALI (AYAH)
Your answer
PEKERJAAN WALI (AYAH)
Your answer
NAMA WALI (IBU)
Your answer
NO. TELP/HP WALI (IBU)
Your answer
ALAMAT WALI (IBU)
Your answer
PEKERJAAN WALI (IBU)
Your answer
NAMA WALI (LAIN-LAIN)
Your answer
NO. TELP/HP WALI (LAIN-LAIN
Your answer
ALAMAT WALI (LAIN-LAIN)
Your answer
PEKERJAAN WALI (LAIN-LAIN)
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