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FORMULIR PENDAFTARAN ONLINE 2022 SMK BISA DAMPIT
Ini adalah formulir pendaftaran online untuk calon siswa baru yang melanjutkan ke SMK Bina Bangsa Dampit
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Nama Lengkap
*
Your answer
Jenis Kelamin
*
Laki - laki
Perempuan
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
Agama
*
Islam
Kristen
Hindu
Budha
Konghucu
Other:
Alamat Rumah Siswa
*
Nama Jalan, RT dan RW harus lengkap
Your answer
Desa
*
Your answer
Kecamatan
*
Your answer
Kabupaten
*
Your answer
Provinsi
*
Your answer
No HP Siswa
*
Your answer
Email Siswa (Wajib Aktif)
*
Your answer
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