FORMULIR PENDAFTARAN SANTRI BARU
PONDOK PESANTREN SUMATERA THAWALIB PARABEK KABUPATEN AGAM - SUMATERA BARAT
Email address
Nama Siswa
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NIK Siswa
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Tempat Lahir
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Tanggal Lahir
MM
/
DD
/
YYYY
Jenis Kelamin
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Negeri Asal
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NISN
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Nama Ayah
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NIK Ayah
Your answer
No. Telepon / Handphone
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Nama Ibu
Your answer
NIK Ibu
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No. Telepon / Handphone
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Alamat Rumah
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No. KK
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Pekerjaan Ayah
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Pekerjaan Ibu
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Hobi
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Cita-cita
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Pendidikan Ayah
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Pendidikan Ibu
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Gaji Orang Tua
Required
Jarak Rumah dengan Sekolah
Transportasi
Jumlah Saudara
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Sekolah Asal
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Status SD/MI/SMP/MTs sebelumnya
Jenis SD/MI/SMP/MTs sebelumnya
Kota SD/MI/SMP/MTs sebelumnya
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Jumlah Nilai SKHU
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No. NPSN SD/MI/SMP/MTs
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Tanggal Kelulusan SD/MI/SMP/MTs
MM
/
DD
/
YYYY
*Cara mengisi Tanggal Kelulusan
Dengan format : Bulan/Hari/Tahun. Contoh : 06/30/2017
No. Peserta UN
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No. Seri Ijazah Negara
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No. Seri SKHU UN Negara
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