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FORMULIR PENDAFTARAN
FORMULIR PENDAFTARAN PESERTA DIDIK BARU SD MUHAMMADIYAH KARANGWARU T.A 2024/2025
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Tanggal Pendaftaran
*
MM
/
DD
/
YYYY
Nama Lengkap
*
Your answer
Nama Panggilan
*
Your answer
Jenis Kelamin
*
Laki-laki
Perempuan
NISN
*
Your answer
NIK
*
Your answer
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
Asal TK
*
Your answer
Nama Ayah Kandung
*
Your answer
TTL Ayah
*
Your answer
Pendidikan Terakhir Ayah
*
Your answer
Pekerjaan Ayah
*
Your answer
Penghasilan
*
Rp.500.000 - Rp.1.000.000
Rp. 1.000.000 - Rp.2.000.000
Rp.2.000.000 - Rp.5.000.000
Lebih dari Rp.5.000.000
No. HP
*
Your answer
Nama Ibu Kandung
*
Your answer
TTL Ibu
*
Your answer
Pendidikan Terakhir Ibu
*
Your answer
Pekerjaan Ibu
*
Your answer
Penghasilan
*
Rp.500.000 - Rp.1.000.000
Rp.1.000.000 - Rp.2.000.000
Rp.2.000.000 - Rp.5.000.000
Lebih dari Rp.5.000.000
No. HP
*
Your answer
Alamat Rumah
*
Your answer
Dusun
*
Your answer
Kelurahan
*
Your answer
Kapanewon
*
Your answer
Kabupaten
*
Your answer
Provinsi
*
Your answer
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