Data Diri Calon Peserta Didik

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Data Diri Calon Peserta Didik

Silahkan diisi sesuai dengan data pada akta kelahiran dan kartu keluarga

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* Indicates required question

Nama Peserta didik *

Your answer

Jenis Kelamin *

Laki laki

Perempuan

Agama *

Your answer

Tempat Lahir *

Your answer

Tanggal Lahir *

MM

/

DD

/

YYYY

Anak ke berapa *

Your answer

Alamat rumah *

Your answer

Sekolah Asal *

Your answer

Alamat Sekolah asal *

Your answer

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