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FORMULIR PENDAFTARAN SMP PLUS AN - NUR TP 2021/2022
Formulir Pendaftaran SMP PLUS AN - NUR tAHUN PELAJARAN 2021/2022
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BIODATA SISWA
NAMA LENGKAP
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NOMOR INDUK SISWA NASIONAL ( NISN )
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NAMA PANGGILAN
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JENIS KELAMIN
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Laki - laki
Perempuan
TEMPAT LAHIR
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Your answer
TANGGAL LAHIR
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Your answer
GOLONGAN DARAH
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AGAMA
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ALAMAT
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Your answer
NOMOR HP/TELEPON
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JUMLAH SAUDARA KANDUNG/TIRI
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BAHASA SEHARI HARI
Bahasa Indonesia
Bahasa Jawa
Bahasa Inggris
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PROGRAM KELAS
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REGULER ( UMUM )
TAHFIDZ ( AL QUR'AN )
MUHADHOROH ( KITAB KUNING )
PENDIDIKAN SISWA
SEKOLAH ASAL
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ALAMAT SEKOLAH ASAL
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BIODATA ORANG TUA
NAMA AYAH KANDUNG
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PEKERJAAN
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NAMA IBU KANDUNG
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PEKERJAAN
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ALAMAT ORANG TUA
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NOMOR HP / TELEPON
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NAMA WALI
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ALAMAT WALI
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NOMOR HP/TELEPON
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