PPDB
PPDB SMK Negeri 1 Gelumbang
Email address *
Nama Pendaftar *
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NISN *
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NIK (lihat di Kartu Keluarga) *
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Kartu Indonesia Pintar
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Jenis Kelamin *
Tempat Lahir *
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Tanggal Lahir *
MM
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DD
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YYYY
Alamat Rumah *
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email *
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Asal Sekolah *
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Alamat Sekolah *
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Agama *
Kebangsaan *
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Anak Ke - *
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Jumlah Saudara *
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Provinsi *
Kabupaten *
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Kecamatan *
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Kode Pos *
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Nomor HP *
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Golongan Darah
Tinggi Badan ( cm ) *
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Berat Badan
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Riwayat Penyakit
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Nilai UN Bahasa Indonesia *
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Nilai UN Bahasa Inggris *
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Nilai UN Matematika *
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Nilai UN Ilmu Pengetahuan Alam (IPA) *
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Nilai Raport Semester 1 *
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Nilai Raport Semester 2 *
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Nilai Raport Semester 3 *
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Nilai Raport Semester 4 *
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Nilai Raport Semester 5 *
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Nilai Raport Semester 6 *
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Pilihan Jurusan Ke - 1 *
Pilihan Jurusan Ke - 2 *
Nama Ayah *
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Pendidikan Ayah *
Pekerjaan Ayah *
Penghasilan Ayah
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No HP ayah *
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Nama Ibu *
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Pendidikan Ibu *
Pekerjaan Ibu *
Penghasilan Ibu
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No HP Ibu
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Nama Wali *
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Pendidikan Wali *
Pekerjaan Wali *
Penghasilan Wali
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No HP Wali *
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Alamat Wali *
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Status Asuh *
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