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Form Pendaftaran Awal
Isi biodata berikut dengan lengkap
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DATA CALON SANTRI
Nama lengkap
*
Your answer
Tempat dan Tanggal Lahir
Your answer
Jenis Kelamin
*
Laki-laki
Perempuan
Jenjang Pendidikan
*
SMP
SMA
Sekolah asal
Your answer
DATA WALI
Nama Ayah
Your answer
Nama Ibu
Your answer
Alamat
Your answer
Nomor Telepon/WA yang dapat dihubungi
*
Your answer
Mendapat info atau referensi dari
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