DATA PERIODIK PESERTA DIDIK KELAS X SMAN 13 SURABAYA
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NAMA LENGKAP PESERTA DIDIK ( Huruf KAPITAL )
TINGGI BADAN (cm) *
BERAT BADAN (kg) *
JARAK RUMAH KE SEKOLAH *
Jumlah Saudara Kandung (sebutkan angka saja) *
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