FORMULIR PENDAFTARAN SANTRI BARU GELOMBANG IV
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NAMA
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NIM
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TTL
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ALAMAT LENGKAP ( KODE POS )
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ASAL SEKOLAH/ ALMAMATER
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FAKULTAS
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JURUSAN
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NO HP PENDAFTAR
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EMAIL
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NO HP ORANG TUA
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BERMINAT MENGIKUTI PROGRAM TAHFIDZ?
PRESTASI YANG PERNAH DIRAIH
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MOTIVASI MASUK MA'HAD WALISONGO
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