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SMK BAKTI UTAMA PATI
Jl. Ki Ageng Selo No. 15 Pati Jawa Tengah Telp (0295) 384984
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FORMULIR PENDAFTARAN PESERTA DIDIK BARU
Tahun Pelajaran 2021/2022
1. Kompetensi yang dipilih :
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TBSM (Teknik dan Bisnis Sepeda Motor)
TKKR (Tata Kecantikan Kulit dan Rambut)
Keperawatan
Social Care (Keperawatan Sosial)
Care Giver (Keperawatan Lansia)
2. Nama Calon Peserta Didik :
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Your answer
3. Jenis Kelamin :
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Laki-laki
Perempuan
4. Tempat Lahir :
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5. Tanggal Lahir :
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MM
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DD
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YYYY
6. Alamat :
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7. No. Telp(WA) :
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8. Asal sekolah sebelumnya :
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Your answer
9. Nama Ayah :
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Your answer
10. No. Telp Ayah :
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11. Nama Ibu :
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12. No. Telp Ibu :
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