FORM PENDATAAN SISWA KELAS XII TAHUN PELAJARAN 2011/2012
NOMOR INDUK SISWA (NIS) *
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NAMA *
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KELAS *
TEMPAT LAHIR *
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TGL LAHIR *
FORMAT TANGGAL : DD/MM/YYY CONTOH : 17/08/1980
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ALAMAT LENGKAP *
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TELP / HP
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EMAIL
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TINGGI BADAN (DALAM CM) *
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BERAT BADAN (DALAM KG) *
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RENCANA SETELAH LULUS AKAN *
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NAMA ADIK KELAS YANG BISA DIHUBUNGI (CONTOH : CALISTA KELAS X TITL-1
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