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FORMULIR PPDB SMA SAIDIYAH
ISILAH DENGAN DATA PRIBADI CALON PESERTA DIDIK SMA SAIDIYAH
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* Indicates required question
Nama Lengkap
*
Your answer
Jenis Kelamin
*
Laki Laki
Perempuan
NISN
*
Your answer
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
NIK
*
Your answer
Asal SMP/MTs
*
Your answer
Kecamatan Sekolah Asal
*
Your answer
Alamat Rumah
*
Your answer
Nama Dusun
*
Your answer
RT
Your answer
RW
Your answer
Nama Kelurahan/Desa
*
Your answer
Kecamatan
*
Your answer
Kode Pos
Your answer
Kabupaten/Kota
*
Your answer
No.HP Peserta Didik
*
Your answer
Tempat Tinggal
*
Bersama Orang Tua
Wali
Kos
Asrama/Pondok Pesantren
Panti Asuhan
Lainnya
Moda Transportasi
*
Jalan Kaki
Sepeda Kayuh
Sepeda Motor
Mobil Pribadi
Kendaraan Umum
Lainnya
Anak Ke
*
Your answer
Jumlah saudara Kandung
*
1
2
3
4
5
Lebih dari 5
Anak Tunggal
Jumlah Saudara Tiri
1
2
3
4
5
Lebih Dari 5
Tidak Mempunyai Saudara Tiri
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