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SMA XAVERIUS 1 BELITANG
PENERIMAAN SISWA/I BARU TAHUN AJARAN 2020/2021
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NAMA LENGKAP
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TEMPAT TANGGAL LAHIR
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ASAL SEKOLAH
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ALAMAT SISWA
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NAMA ORANG TUA / WALI
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NO TELP/ HP SISWA ( wa kalau ada )
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NO TELP/ HP ORANG TUA
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AGAMA
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KATHOLIK
ISLAM
KRISTEN
HINDU
BUDHA
Other:
KEGIATAN LIFESKILL
MENJAHIT
SALON
TARI
DRUM
GITAR
BASS
ELEKTRONIK
KONBLOCK
DESIGN GRAFIS
KEYBOARD
POTOGRAFER
TATA BOGA
MELUKIS
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KEGIATAN EKSTRAKURIKULER
BASKET
BADMINTON
VOLLY
HAPKIDO
BAND
Other:
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HAYOO... ADA YANG KENAL GA.........
ARUM JERAM
liat serunya.......
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