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ANGKET SISWA KELAS IX
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A. IDENTITAS SISWA
Nama Siswa
*
Your answer
Nama Panggilan
*
Your answer
Kelas
*
9A
9B
9C
9D
9E
9F
9G
Other:
No.Absen
*
Your answer
NIS (Nomor Induk Siswa)
*
Your answer
Tempat lahir
*
Your answer
Tanggal Lahir
*
Your answer
Alamat
*
Your answer
No.WA/HP
*
Your answer
Agama
*
Islam
Kristen
Katholik
Hindu
Budha
Jenis Kelamin
*
Laki-laki
Perempuan
Anak ke
*
Your answer
Jumlah Saudara kandung
*
Your answer
Jumlah Saudara Tiri
*
Your answer
Anak
*
Yatim
Piatu
Yatim Piatu
Other:
Tinggal bersama
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Your answer
Bahasa sehari-hari
*
Your answer
Suku Bangsa
*
Your answer
Tinggi badan
*
Your answer
Berat Badan
*
Your answer
Golongan Darah
*
Your answer
Penyakit yang pernah diderita
*
Your answer
Kelainan Jasmani
*
Your answer
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