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FORM PENDAFTARAN SANTRI MTAQ Generasi V
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Email
*
Your email
NAMA LENGKAP
*
Your answer
NIK CALON SANTRI
*
Your answer
NISN CALON SANTRI
Your answer
NAMA PANGGILAN
Your answer
TANGGAL LAHIR
*
MM
/
DD
/
YYYY
TEMPAT LAHIR
*
Your answer
JENIS KELAMIN
*
LAKI-LAKI
PEREMPUAN
ANAK KE
*
Your answer
BERAPA SAUDARA
*
Your answer
UMUR
*
Your answer
BAHASA SEHARI-HARI
*
BANGKA
INDONESIA
العربية
BERKEBUTUHAN KHUSUS
*
IYA
TIDAK
SEKOLAH TERAKHIR
*
Your answer
PERNAH MONDOK DI PESANTREN
*
Your answer
KELAS BERAPA (contoh= 1 SMA)
*
Your answer
PENYAKIT YANG PERNAH DIDERITA
*
Your answer
TINGGAL BERSAMA
ORANG TUA
WALI
LAINNYA
Clear selection
NOMOR KARTU KELUARGA
*
Your answer
ALAMAT RUMAH
*
Your answer
KEMAMPUAN DASAR CALON SANTRI
IQRO
MEMBACA LATIN
MENULIS LATIN
MEMBACA AL-QURAN
KEMAMPUAN PRIBADI SANTRI
MENYIAPKAN KEPERLUAN SENDIRI
BISA MAKAN SENDIRI
BISA ISTINJA SENDIRI
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