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SURAT KETERANGAN PENGHASILAN ORANG TUA
Form Untuk Pengajuan Surat Keterangan Penghasilan Orang Tua
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Nama
*
Isi Nama dibawah ini
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Tempat Lahir
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Isikan tempat lahir
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Tanggal Lahir
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Isikan tanggal lahir
MM
/
DD
/
YYYY
Jenis Kelamin
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Isikan jenis kelamin
Laki-laki
Perempuan
Pekerjaan
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Isikan pekerjaan anda
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NIK
*
Isikan 16 NIK sesuai KTP anda
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Alamat
*
Isikan alamat beserta RT RW dan blok sesuai KTP/ Domisili asal
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Status Pernikahan
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Isikan status pernikahan anda
Kawin
Belum Kawin
Agama
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Isikan agama anda
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