Formulir Pendaftaran Calon Peserta Didik Baru Tahun Pelajaran 2020/2021
MTs Muhammadiyah Wonosari
MATSMURI Religius - Cendekia
DATA PRIBADI
NISN
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NIK
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Nama Lengkap *
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Tempat Lahir *
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Tanggal, Lahir *
MM
/
DD
/
YYYY
Jenis Kelamin *
Hobi
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Cita - Cita
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Jumlah Saudara
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Anak Ke
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No. HP
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Tempat Tinggal
Dusun, RT/RW *
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Desa/Kelurahan *
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Kecamatan *
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Kabupaten *
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Provinsi *
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Kode Pos
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Jarak Rumah Ke sekolah
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Transportasi yang Digunakan
Nomor Kartu Keluarga
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Status Tempat Tinggal Siswa
PENDIDIKAN
Asal Sekolah *
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Jenis Sekolah *
Status Sekolah *
Nomor Peserta Ujian SD/MI
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Nomor SKHUN
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Nomor Ijazah
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NPSN Sekolah
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Total Nilai UN
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Prestasi yang Pernah diraih
Prestasi
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Tingkat
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ORANGTUA
Nama Ayah
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Tahun Lahir
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Status Ayah
NIK
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Pendidikan
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Pekerjaan
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Nama Ibu
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Tahun Lahir
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Status Ibu
NIK
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Pendidikan
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Pekerjaan
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Nama Wali
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Pekerjaan
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Rata - Rata Penghasilan Orangtua Perbulan
Nomor KKS/KPS
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Nomor Kartu PKH
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Nomor KIP
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Tanggal Pendaftaran
MM
/
DD
/
YYYY
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