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FORM PENDAFTARAN CALON PESERTA DIDIK BARU SMK WIRA UTAMA Tahun Pelajaran 2023-2024
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Email
*
Your email
SMK WIRA UTAMA
Nama Lengkap
*
Your answer
Jenis Kelamin
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Choose
Laki-laki
Perempuan
Tempat lahir
*
Your answer
Tanggal lahir (Bulan, Tanggal, Tahun)
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MM
/
DD
/
YYYY
Agama
Islam
Katolik
Kristen
Budha
Hindu
Other:
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Nama Ayah Kandung
Your answer
Nama Ibu Kandung
*
Your answer
Nama Wali
Your answer
No HP 1
Your answer
No HP 2
Your answer
Alamat Tempat Tinggal
Your answer
RT
Your answer
RW
Your answer
Desa / Kelurahan
Your answer
Kecamatan
Your answer
Kota / Kabupaten
Your answer
Kode Pos
Your answer
Email
*
Your answer
Asal Sekolah
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Choose
SMP Negeri 1 Nyalindung
SMP Negeri 2 Nyalindung
SMP Negeri 3 Nyalindung
MTS Al Furqon
MTS Bina Bangsa
Lainnya
NISN
Your answer
NIK Siswa
Your answer
No Kartu Keluarga
Your answer
NIK Ayah Kandung
Your answer
NIK Ibu Kandung
Your answer
NIK Wali
Your answer
Pekerjaan Ayah
Your answer
Pekerjaan Ibu
Your answer
Pekerjaan Wali
Your answer
Minat Keahlian
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Choose
Perbankan dan Keuangan Mikro (PKM)
Teknik dan Bisnis Sepeda Motor (TBSM)
Teknik Komputer dan Jaringan (TKJ)
Desain dan Komunikasi Visual (DKV)
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