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Formulir Pendaftaran Peserta Didik Baru MTs Ma`arif NU 1 Kebasen TP 2017/2018
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Nama Lengkap
*
Your answer
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
Jenis Kelamin
*
Laki-Laki
Perempuan
Alamat Lengkap
Your answer
No. Telp / No.Hp
Your answer
Pihak yang bisa dihubungi
*
Ayah
Ibu
Wali Siswa
Asal Sekolah
*
Your answer
NISN
*
Your answer
Nomor Ujian SD/MI
Your answer
Nama Ayah
*
Your answer
NIK
Your answer
Pekerjaan
Your answer
Perkiraan Penghasilan Perbulan
*
Di Bawah Rp. 500.000
Rp. 500.000 - Rp. 1.000.000
Rp. 1.000.000 - Rp. 2.000.000
Rp. 2.000.000 - Rp. 3.000.000
Rp. 3.000.000 - Rp. 5.000.000
Required
Nama Ibu
Your answer
NIK
Your answer
Pekerjaan
Your answer
Penghasilan Perbulan
Di Bawah Rp.500.000
Rp. 500.000 - Rp. 1.000.000
Rp. 1.000.000 - Rp. 2.000.000
Rp. 2.000.000 - Rp. 3.000.000
Rp. 3.000.000 - Rp. 5.000.000
Program yang di ambil
*
Kelas Program Khusus hanya ada 20 Kuoto Siswa
Kelas Program Khusus (PK)
Kelas Reguler
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