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Formulir Pendaftaran PPDB SMA MARDISISWA
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IDENTITAS CALON PESERTA DIDIK
NAMA LENGKAP
*
Diisi nama lengkap dan jelas sesuai Akta Kelahiran atau dari Ijazah
Your answer
NISN
*
NISN (Nomor Induk Siswa Nasional) dapat dilihat di buku rapor atau surat keterangan lulus, jumlahnya 10 digit
Your answer
TEMPAT LAHIR
*
Your answer
Tanggal Lahir
*
Your answer
JENIS KELAMIN
*
Choose
laki - laki
Perempuan
AGAMA
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Choose
ISLAM
KRISTEN
KHATOLIK
HINDU
BUDHA
KHONGHUCU
KEPERCAYAAN
Alamat Peserta Didik
*
Your answer
No. Telepon / Whatsapp ( Peserta Didik )
*
Your answer
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