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PENERIMAAN PESERTA DIDIK BARU UPTD SD NEGERI KRUKUT 03 TA. 2022/2023
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NAMA CALON PESERTA DIDIK
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NIK CALON PESERTA DIDIK
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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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DD
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YYYY
NO KARTU KELUARGA
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ASAL SEKOLAH/TK/PAUD
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ALAMAT TINGGAL
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KELURAHAN
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KECAMATAN
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KAB/KOTA
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AGAMA
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NAMA LENGKAP IBU
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NAMA LENGKAP AYAH
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NO TELP/WA
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