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Formulir Pendaftaran Murid Baru
SMK BAKTI INDONESIA MEDIKA JOMBANG
PENDAFTARAN JALUR PMDK
Tahun Pelajaran 2026/2027
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Email
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Your email
Nama Lengkap
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Asal Sekolah
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Your answer
Nomor WhatsApp Siswa
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Your answer
Jenis Kelamin
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Laki - laki
Perempuan
Alamat Tinggal
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Your answer
Nama Ortu/Wali
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Your answer
Nomor HP Ortu/Wali
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Pilihan Jurusan 1 (Pilihan Utama)
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Layanan Kesehatan
Teknik Laboratorium Medik
Teknologi Farmasi
Kimia Analisis
Pilihan Jurusan 2 (Pilihan Alternatif)
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Layanan Kesehatan
Teknik Laboratorium Medik
Teknologi Farmasi
Kimia Analisis
Mendapatkan informasi tentang SMK BIM JOMBANG dari..
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Sekolah
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Mohon dituliskan 5 Nama dan nomor WhatsApp teman/sahabat/kerabat yang direkomendasikan untuk sekolah di SMK BIM JOMBANG
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