Formulir Calon Siswa Baru  SMA  Al Falah Ketintang  Surabaya  Tahun Pelajaran 2023-2024
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Nama Siswa *
Tempat lahir *
Tanggal lahir *
MM
/
DD
/
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Jenis Kelamin *
Asal Sekolah *
Alamat sekolah
Tahun  Lulus SMP/Mts *
Alamat Rumah *
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