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BIODATA 10-2 TKJ
TA. 2021/2022
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NAMA PESERTA DIDIK (gunakan huruf kapital)
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NISN
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TEMPAT LAHIR
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TANGGAL LAHIR
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MM
/
DD
/
YYYY
JENIS KELAMIN
*
L
P
AGAMA
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KATOLIK
ISLAM
PROTESTAN
STATUS DALAM KELUARGA
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ANAK KANDUNG
ANAK ANGKAT
ANAK KE-
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ALAMAT PESERTA DIDIK
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NOMOR TELEPON / HP
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SEKOLAH ASAL
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NAMA AYAH
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NAMA IBU
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ALAMAT ORANG TUA
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PEKERJAAN AYAH
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PEKERJAAN IBU
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NAMA WALI
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ALAMAT WALI
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NOMOR TELEPON WALI
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PEKERJAAN WALI
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