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FORMULIR PENDAFTARAN MURID TAHUN PELAJARAN 2021/2022
DC, KB, TK MARSUDIRINI ST. THERESIA MUNTILAN
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A. IDENTITAS ANAK DIDIK
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
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TEMPAT LAHIR
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Your answer
TANGGAL LAHIR
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MM
/
DD
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YYYY
ALAMAT (Lengkap Jalan, Desa/Kelurahan, Kecamatan, Kabupaten, Provinsi)
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Your answer
AGAMA
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KATOLIK
PROTESTAN
ISLAM
HINDU
BUDDHA
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