REGISTRATION FORM
ANTS BIMBEL -- Good Learning Habit in Comfort Way
Nama Siswa *
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Tempat/Tanggal lahir:
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Anak ke:
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Asal Sekolah : *
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Kelas/Grade: *
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Agama:
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Alamat Rumah: *
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No telepon Rumah : *
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Pilihan Hari dan Waktu Belajar: *
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BIODATA AYAH _ email ayah : *
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Nama Ayah *
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Usia Ayah
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Pekerjaan Ayah
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No HP Ayah yang bisa dihubungi *
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BIODATA IBU_Email Ibu: *
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Nama IBU *
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Usia Ibu
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Pekerjaan Ibu
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Biodata Wali Siswa_Email Wali Siswa :
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Nama :
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Hubungan Kerabat dengan Siswa: *
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Pekerjaan Wali Murid
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