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Formulir Pendaftaran Sementara
KB & TK AL IRSYAD AL ISLAMIYYAH PURWOKERTO
TAHUN PELAJARAN 2022-2023
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Pilihan Sekolah
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Kelompok Bermain
TK A
TK B
Nama Siswa (Lengkap)
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Nama Panggilan
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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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Jumlah Saudara
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Asal Sekolah
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Alamat Rumah
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Nama Ayah
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No. HP Ayah
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Nama Ibu
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No HP Ibu
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Kategori
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Reguler / Umum
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Anggota Al Irsyad
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