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FORM PENDATAAN CALON SISWA SMKN 1 SANDEN 2023/2024
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DATA PRIBADI
NAMA LENGKAP
*
Your answer
TANGGAL LAHIR
*
MM
/
DD
/
YYYY
AGAMA
*
ISLAM
KATOLIK
KRISTEN
HINDU
BUDDHA
KHONGHUCU
NIK
*
Your answer
ALAMAT RUMAH
*
Your answer
ALAMAT DOMISILI
*
Your answer
ASAL SEKOLAH
*
Your answer
ALAMAT SEKOLAH
*
Your answer
NISN
*
Your answer
NO. WA
*
Your answer
JURUSAN YANG DIAMBIL
*
Nautika Kapal Penangkap Ikan (NKPI)
Teknika Kapal Penangkap Ikan (TKPI)
Agribisnis Pengolahan Hasil Perikanan (APHPi)
Agribisnis Perikanan Air Tawar (APAT)
Rekayasa Perangkat Lunak (RPL)
Teknik Kendaraan Ringan Otomotif (TKRO)
Teknik Bodi Otomotif (TBO)
DATA ORANG TUA
NAMA IBU
*
Your answer
NAMA AYAH
*
Your answer
ALAMAT ORANG TUA
*
Your answer
NO. TELP. ORANG TUA
*
Your answer
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