SURAT KETERANGAN AKTIF
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NAMA LENGKAP *
TEMPAT, TANGGAL LAHIR 
Contoh : (Balikpapan, 30 November 1997)
*
NAMA ORANG TUA AYAH & IBU (KANDUNG) *
NIS
Nomor Induk Siswa
*
NISN
Nomor Induk Siswa Nasional
*
KELAS (DAPODIK) *
Email *
NO HP (WA AKTIF) *
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