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FORMULIR PPDB SMA SKJ 2021-2022
I. IDENTITAS PESERTA DIDIK
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NAMA LENGKAP
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JENIS KELAMIN
Laki-Laki
Perempuan
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TEMPAT LAHIR
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TANGGAL LAHIR (Tgl/Bln?Tahun)
MM
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DD
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YYYY
NISN
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NIK (Nomor Induk Keluarga)
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ALAMAT RUMAH
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DUSUN
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DESA
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KECAMATAN
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KABUPATEN
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ANAK KE
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JUMLAH SAUDARA
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ASAL SEKOLAH
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MONDOK
YA
TIDAK
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