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FORMULIR PPDB TAHUN 2023
Tahun Ajaran 2023/2024
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Tanggal
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MM
/
DD
/
YYYY
Nama Lengkap
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Your answer
Tempat Lahir
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Your answer
Tanggal Lahir
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MM
/
DD
/
YYYY
Jenis Kelamin
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Laki-Laki
Perempuan
Nomor Induk Nasional ( NIS )
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Your answer
Nomor Induk Kependudukan ( NIK )
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Your answer
Nama Orang Tua ( Bapak )
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Your answer
Nama Orang Tua ( Ibu )
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Your answer
Nomor Kartu Keluarga
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Your answer
Alamat Siswa ( Pendaftar )
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Your answer
Desa/Kelurahan
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Salukayu I
Sukadamai
Toabo
Boda-Boda
Other:
Kecamatan
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Your answer
Kabupaten
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Your answer
Nomor Hp
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Your answer
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