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Formulir Peserta Didik SMPN 193
Data Dapodik siswa
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* Indicates required question
Nama Siswa
*
Your answer
Tempat Tgl Lahir
*
Your answer
Jenis Kelamin
*
Laki laki
Perempuan
NISN
*
Your answer
NIS Lokal
*
Your answer
Kelas
*
VII
VIII
IX
NIK
*
Your answer
No KK
*
Your answer
No Akte Lahir
*
Your answer
Agama
*
Islam
Kristen
Protestan
Hindhu
Budha
Other:
Alamat
*
Your answer
Alat Transportasi ke sekolah
*
Angkot
Ojol
di antar jemput
jalan kaki
Other:
Tinggal bersama
*
Ortu
Sodara
Menumpang
Anak ke berapa
*
Your answer
Jumlah Sodara Kandung
*
Your answer
Tinggi Badan
*
Your answer
Berat Badan
*
Your answer
Lingkar Kepala
Your answer
Jarak Rumah ke Sekolah
*
Your answer
Nomer Peserta USBN
*
Your answer
Nomer Ijazah SD
*
Your answer
Nama Ayah
*
Your answer
NIK Ayah
*
Your answer
Tempat Tgl Lahir Ayah
*
Your answer
Pekerjaan Ayah
Your answer
Penghasilan Ayah
*
1 - 2 Jt
2 - 5 Jt
di atas 5 Jt
Other:
Pendidikan terakhir Ayah
*
SD
SMP
SMA
D1 - D3
S1
S2
Pendidikan terakhir Ibu
*
SD
SMP
SMA
D1 - D3
S1
S2
Nama Ibu Kandung
*
Your answer
Tempat Tgl lahir Ibu
*
Your answer
NIK Ibu
*
Your answer
Pekerjaan Ibu
Your answer
Penghasilan Ibu
*
1 - 2 Jt
2 - 5 Jt
di atas 5 Jt
Tidak berpenghasilan
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