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FORMULIR PENDAFTARAN SMK MUTIPUGA TAHUN PELAJARAN 2025/ 2026
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Nama Lengkap Calon Siswa
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NIK ( Nomor Induk Kependudukan )
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Email Aktif
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Jenis Kelamin
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Laki-laki
Perempuan
Tempat Tanggal Lahir
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Asal Sekolah
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Agama
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Alamat Lengkap
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No Hp/wa
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Nama Ayah
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Pekerjaan Ayah
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Nama Ibu
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Pekerjaan Ibu
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Alamat Lengkap
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Jurusan yang dipilih
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Desain Komunikasi Visual
Rekomendasi (Sumber informasi PPDB) :
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Tanggal Mendaftar
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JIKA SUDAH MENDAFTAR HARAP KONFIRMASI KE NO WA : 081325977099 ( PAK JASNO )
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