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Data Diri Calon Peserta Didik
Silahkan diisi sesuai dengan data pada akta kelahiran dan kartu keluarga
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* Indicates required question
Nama Peserta didik
*
Your answer
Jenis Kelamin
*
Laki laki
Perempuan
Agama
*
Your answer
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
Anak ke berapa
*
Your answer
Alamat rumah
*
Your answer
Sekolah Asal
*
Your answer
Alamat Sekolah asal
*
Your answer
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