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DATA SISWA ANGKATAN 2020 SMK NEGERI 4 BANJARMASIN
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Nama Lengkap (Sesuai Izajah SMP)
*
Your answer
NIK (Nomor Induk Kependudukan)
*
Your answer
NISN
*
Your answer
Sekolah Asal
*
Your answer
Jenis Kelamin
*
Laki-Laki
Perempuan
No. Register Akta Kelahiran
*
Your answer
Tempat Lahir
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Your answer
Tanggal Lahir
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MM
/
DD
/
YYYY
Agama
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Budha
Hindu
Islam
Kristen
Khatolik
Kong Hu Chu
Penghayat Kepercayaan
Kewarnganegaraan
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Indonesia
Warga Negara Asing
Anak Keberapa
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Your answer
Jumlah Saudara Kandung
*
Your answer
Jumlah Saudara Tiri
Your answer
Jumlah Saudara Angkat
Your answer
Status Anak (yatim/piatu/yatim piatu). Jika Masih memiliki kedua orang tua kosongkan saja
Your answer
Nomor KIP/KKS/KPS/PKH
Your answer
Nomor KIP/KKS/KPS/PKH
Your answer
Nomor Telpon/HP
*
Your answer
Email Aktif
*
Your answer
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