FORM PENDAFTARAN CALON PESERTA DIDIK BARU SMK WIRA UTAMA Tahun Pelajaran 2020-2021
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SMK WIRA UTAMA
Nama Lengkap
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Jenis Kelamin
Tempat Lahir
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Tanggal Lahir
MM
/
DD
/
YYYY
Agama
Nama Ayah Kandung
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Nama Ibu Kandung
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Nama Wali
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No HP 1
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No HP 2
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Alamat Tempat Tinggal
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RT
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RW
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Desa / Kelurahan
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Kecamatan
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Kota / Kabupaten
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Kode Pos
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Email
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Asal Sekolah
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NISN
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No Kartu Keluarga
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NIK Siswa
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NIK Ayah
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NIK Ibu
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NIK Wali
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Pekerjaan Ayah
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Pekerjaan Ibu
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Pekerjaan Wali
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Minat Keahlian
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