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FORMULIR PENDAFTARAN PESERTA DIDIK BARU SD NEGERI 01 SELOROMO
Isi dan lengkapi formulir untuk pendaftaran peserta didik baru di SD Negeri 01 Seloromo
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* Indicates required question
Nama
*
Your answer
Jenis Kelamin
*
Laki-laki
Perempuan
NIK
*
Your answer
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
No Registrasi Akta Lahir
*
Your answer
Agama
*
Islam
Kristen/Protestan
Khatolik
Hindu
Khonghucu
Kepercayaan kepada Tuhan YME
Other:
Required
Kewarganegaraan
*
Your answer
Berkebutuhan Khusus
*
Choose
Tidak
Netra
Rungu
Grahita Ringan
Grahita Sedang
Daksa Ringan
Daksa Sedang
Laras
Wicara
Tuna Ganda
Hiperaktif
Cerdas Istimewa
Bakat Istimewa
Kesulitan Belajar
Narkoba
Indigo
Down Sindrome
Autis
Alamat Jalan
*
Your answer
RT
*
Your answer
RW
*
Your answer
Nama Dusun
*
Your answer
Nama Kelurahan/Desa
*
Your answer
Kecamatan
*
Your answer
Kodepos
*
Your answer
Anak Keberapa
*
Your answer
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