Formulir Pendaftaran Peserta Didik Baru T.A 2018/2019
SMA DOA BANGSA
IDENTITAS CALON PESERTA DIDIK BARU
> Nama Calon Peserta Didik Baru *
Your answer
> Jenis Kelamin *
> Tempat Lahir *
Your answer
> Tanggal Lahir *
MM
/
DD
/
YYYY
> Agama *
> Alamat *
Your answer
> No Handphone *
Your answer
> Sekolah Asal *
Your answer
> Alamat Sekolah Asal *
Your answer
> Provinsi *
Your answer
> No NISN
Your answer
> No Peserta Ujian
Your answer
> No STTB/Tahun Lulus
Your answer
> No SKHUN
Your answer
> Jumlah Nilai STTB/Rata-rata
Your answer
ORANG TUA CALON PESERTA DIDIK BARU
> Nama Orang Tua (Ayah) *
Your answer
> Tempat Lahir (Ayah) *
Your answer
> Tanggal Lahir (Ayah) *
MM
/
DD
/
YYYY
> Agama (Ayah) *
> Pekerjaan (Ayah) *
Your answer
> Alamat (Ayah) *
Your answer
> Nama Orang Tua (Ibu) *
Your answer
> Tempat Lahir (Ibu) *
Your answer
> Tanggal Lahir (Ibu) *
MM
/
DD
/
YYYY
> Agama (Ibu) *
> Pekerjaan (Ibu) *
Your answer
> Alamat (Ibu) *
Your answer
> Nama Orang Tua (Wali)
Your answer
> Tempat Lahir (Wali)
Your answer
> Tanggal Lahir (Wali)
MM
/
DD
/
YYYY
> Agama (Wali)
> Pekerjaan (Wali)
Your answer
> Alamat (Wali)
Your answer
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