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Formulir pengajuan akun WibragaNet
Form pengajuan akun wifi internet di SD Muhammadiyah Wirobrajan 3 Yogyakarta. Harap masukkan data yang valid, karena akan digunakan untuk pengaktifan akun wifi.
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* Indicates required question
Nama pemohon (Orang tua)
*
Your answer
Alamat (alamat tinggal)
Your answer
Bertindak untuk (Nama lengkap siswa)
*
Your answer
Kelas
*
Your answer
Tahun Pelajaran
*
Your answer
NIS (Nomor Induk Siswa)
*
Your answer
Tanggal lahir (anak)
*
MM
/
DD
/
YYYY
Nomor WA yang aktif (nomor Orang tua)
*
Your answer
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