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FORMULIR PENDAFTARAN
DIISI OLEH ORANG TUA/WALI
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Opsi 1
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Data Diri
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Siswa Baru
Siswa Lama
Nama Lengkap
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Your answer
Nama Panggilan
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Your answer
Jenis Kelamin
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Laki - Laki
Perempuan
Tempat Lahir
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Tanggal Lahir
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MM
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DD
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YYYY
Anak Ke
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1
2
3
Other:
Golongan Darah
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A
B
AB
O
Other:
Tinggi Badan
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Your answer
Berat Badan
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Agama
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Islam
Katalik
Protestan
Hindu
Budha
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Suku
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Your answer
Kewarganegaraan
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WNI
WNA
Other:
Alamat Rumah
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Kelurahan/Desa
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Kecamatan
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Kota/Kabupaten
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Propinsi
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Nomor HP
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Alamat Email
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