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Pendaftaran PKBM & Homeschooling Tridaya
Selamat datang di form pendaftaran PKBM & Homeschooling Tridaya. Silakan isi form dibawah ini dan staf kami akan menghubungi anda.
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Nama Lengkap Siswa
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Email Siswa
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No Ponsel
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Alamat
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Tanggal Lahir Siswa
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Jenis Kelamin
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Laki-laki
Perempuan
Agama
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Kelas / Sekolah
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Data Ayah
Nama Ayah
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Pekerjaan Ayah
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Email Ayah
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Data Ibu
Nama Ibu
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Pekerjaan Ibu
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Email Ibu
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Data Wali
Nama Wali
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Pekerjaan Wali
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Email Wali
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Kategori
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PKBM
Homeschooling
Program Homeschooling
Wajib Diisi bagi pendaftar Homeschooling
Program Individu
Program Individu Khusus
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