FORMULIR PPDB SMK KARTEK 2 JATILAWANG

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FORMULIR PPDB SMK KARTEK 2 JATILAWANG

Tahun Pelajaran 2024/2025

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* Indicates required question

Nama Lengkap (tulis menggunakan huruf kapital) *

Your answer

Jenis Kelamin *

Laki-laki

Perempuan

Tempat Lahir *

Your answer

Tanggal Lahir *

MM

/

DD

/

YYYY

Alamat *

Your answer

Asal Sekolah *

SMP

MTs

Nama SMP/MTs *

Your answer

Daerah Asal *

Banyumas

Cilacap

Purbalingga

Banjarnegara

Other:

Pilihan Jurusan *

Farmasi

Analis Kesehatan

Nomor Telepon/WA yang aktif *

Your answer

Konfirmasi Pendaftaran / Pembayaran *

P. Anu (081229506765)

P. Edi (085695151563)

P. Arif (085323061450)

P. Lubis (085227232087)

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