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FORMULIR PENDAFTARAN ONLINE
Draft Isian formulir pendafataran santri baru Madrasah AL Quran Baitul Izzah Samarinda, tahun 2023/2034
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NAMA CALON SANTRI
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TEMPAT, TANGGAL LAHIR
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ALAMAT LENGKAP
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JENIS KELAMIN
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Laki laki
Perempuan
ASAL SEKOLAH
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NAMA CALON WALI SANTRI
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TEMPAT, TANGGAL LAHIR
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ALAMAT
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PENDIDIKAN TERAKHIR
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PEKERJAAN
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NOMOR TELEPON
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Email
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