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Angket Peminatan SMAN 1 Cianjur
Mohon diisi angket berikut untuk menjaring minat pilihan jurusan (peminatan) di SMAN 1 Cianjur
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* Indicates required question
Nama Peserta Didik
*
Your answer
Jenis Kelamin
*
Choose
Laki-laki
Perempuan
Tempat lahir
*
Your answer
Tanggal lahir
*
MM
/
DD
/
YYYY
Alamat peserta didik
*
Your answer
Nomor telepon untuk WA
*
Your answer
Alamat e-mail
*
Your answer
Pekerjaan yang minati setelah pendidikan
*
Your answer
Perguruan Tinggi yang diminati
*
Your answer
Jurusan di Perguruan Tinggi yang diminati
*
Your answer
Nama Ayah
*
Your answer
Pekerjaan ayah
*
Your answer
Alamat Ayah
*
Your answer
Nama Ibu
*
Your answer
Pekerjaan Ibu
*
Your answer
Alamat Ibu
*
Your answer
Jurusan yang diminati peserta didik di SMAN 1 Cianjur
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Choose
IPA
IPS
Jurusan yang direkomendasikan orang tua di SMAN 1 Cianjur
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IPA
IPS
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