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FORMULIR PENDAFTARAN
Data Peserta Didik
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Nama Lengkap
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NIK
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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
No NISN
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Jenis Kelamin
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Laki-laki
Perempuan
Nomor HP
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Agama
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Alamat Rumah, Kecamatan, Kabupaten
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Pekerjaan
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Pendidikan Terakhir
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Asal Sekolah / Perguruan Tinggi
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Sumber Informasi
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Data Orang Tua
Nama Ibu
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Pekerjaan
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Tahun Lahir
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Your answer
No. HP
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Nama Ayah
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Pekerjaan
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Tahun Lahir
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Your answer
No. HP
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