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FORMULIR PENDAFTARAN SANTRI BARU 2019/2020 PONDOK PESANTREN DAARUL MUSTAQIEM
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Nama Siswa
Your answer
Tempat & Tanggal lahir
MM
/
DD
/
YYYY
NISN
Your answer
Nomor Induk Kependudukan (NIK) Siswa
Your answer
Jenis Kelamin
laki - Laki
Perempuan
Asal Sekolah
Your answer
Hobi
Your answer
Cita - Cita
Your answer
Jumlah Saudara
Your answer
Alamat Lengkap
Your answer
Nama Ayah
Your answer
No. Kartu Keluarga
Your answer
Pendidikan
MI / SD
MTs / SMP
MA / SMA / SMK
Perguruan Tinggi
Nama Ibu
Your answer
NIK / Nomor KTP
Your answer
Pendidikan
MI / SD
MTs / SMP
MA / SMA / SMK
Rata - Rata Penghasilan Orang Tua Per Bulan
500.000 - 1.000.000
1.000.000 - 2.000.000
2.000.000 - 5.000.000
5.000.000 ke atas
Bersama ini saya lengkapi Administrasi berikut
Copy STTB, SKHUN, dan Raport
Copy Kartu Keluarga
Copy KTP Orang Tua
Nomor Handphone
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