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Formulir Pendaftaran Peserta Didik Baru Babul Khairat
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Tingkatan Pendidikan yang Diambil :
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Ma'had Babul Khairat
SMP + Ma'had Babul Khairat
SMA + Ma'had Babul Khairat
Nama :
*
Your answer
NISN :
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Your answer
Jenis Kelamin
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Laki-Laki
Perempuan
Alamat :
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Your answer
Tempat Lahir :
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Your answer
Tanggal Lahir :
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MM
/
DD
/
YYYY
Nama Ayah :
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Your answer
Nama Ibu :
Your answer
Nomor Telpon Orang Tua :
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Your answer
Asal Sekolah:
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Your answer
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