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Formulir Pendaftaran Peserta Didik Baru
SMK BAKTI INDONESIA MEDIKA JOMBANG
PENDAFTARAN JALUR REGULER
Tahun Pelajaran 2022/2023
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Email
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Your email
Nama Lengkap
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Your answer
Jenis Kelamin
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Laki - laki
Perempuan
Asal Sekolah
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Your answer
Alamat Lengkap
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Your answer
Nomor Whatsapp siswa
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Your answer
Nama Orang tua/ Wali Siswa
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Your answer
Nomor Handphone Orang tua/wali
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Your answer
Pilihan Program Keahlian 1 (utama)
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layanan Kesehatan / Asisten Keperawatan
Teknik Laboratorium Medik
Kimia Analisis / Analisis Pengujian Laboratorium
Pilihan Program Keahlian 2 (alternatif)
*
Layanan Kesehatan / Asisten Keperawatan
Teknik Laboratorium Medik
Kimia Analisis / Analisis Pengujian Laboratorium
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Mohon dituliskan 5 nama dan nomor WA teman/sahabat/kerabat yang direkomendasikan sekolah di SMK BIM JOMBANG
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