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Formulir Daftar Ulang - SMK Negeri 2 Tebing Tinggi
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NISN
*
Your answer
No Registerasi PPDB
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Your answer
NIK (No KTP)
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Your answer
No HP
*
Your answer
Lulus Pada Jurusan
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Teknik Komputer dan Jaringan
Rekayasa Perangkat Lunak
Teknik Kendaraan Ringan
Teknik Sepeda Motor
Teknik Pemesinan
Teknik Audio Video
Teknik Elektronika Industri
Teknik Instalasi Tenaga Listrik
Teknik Otomasi Industri
Nama Lengkap
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Your answer
Nama Panggilan
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Your answer
Jenis Kelamin
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Laki-laki
Perempuan
Tempat Lahir
Your answer
Tanggal Lahir
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MM
/
DD
/
YYYY
Agama
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Islam
Kristen
Khatolik
Hindu
Budha
Kewarganegaraan
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Your answer
Anak Ke-
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Your answer
Jumlah Saudara Kandung
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Your answer
Jumlah Saudara Tiri
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Your answer
Jumlah Saudara Angkat
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Your answer
Bahasa Sehari-hari
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Your answer
Berat Badan (Kg)
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Your answer
Tinggi Badan (Cm)
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Your answer
Golongan Darah
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Your answer
Penyakit Yang Pernah Diderita
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Your answer
Alamat (Sesuai KK)
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Your answer
RT/RW
Your answer
Kelurahan
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Your answer
Kecamatan
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Your answer
Kabupaten/Kota
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Provinsi
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Your answer
Kode POS
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Your answer
Bertempat Tinggal Pada
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Bersama Orang Tua
Bersawa Wali
Kost
Jarak Tempat Tinggal dengan Sekolah (Dalam Km)
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