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FORM LAPOR DIRI SMPN 35 KOTA BEKASI
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1. Nama Lengkap Peserta Didik
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2. Nomor Induk Siswa Nasional
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3. Tempat / Tanggal Lahir
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4. Jenis Kelamin
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5. Agama
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6. Status dalam Keluarga
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7. Anak ke-...
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8. Alamat Peserta Didik
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9. Nomor Telepon Rumah
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10. Sekolah Asal
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11. Nama Orang Tua Ayah
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12. Nama Orang Tua Ibu
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13. Alamat Orang Tua
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14. Pekerjaan Orang Tua
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