Pengaduan PPDB Disdikpora Kabupaten Buleleng
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Nama Orang Tua *
Nama Siswa *
Alamat (sesuai Kartu Keluarga) *
Tempat Tanggal Lahir/Usia *
Sekolah Tujuan *
Permasalahan *
Jika dipilih lainnya, mohon diisi disini
Saran *
Nomer HP yang bisa dihubungi
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