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FORMULIR PENDAFTARAN SANTRI BARU PONPES ALFATAH KOTA MULYA
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Ingin mendaftar di jenjang
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MI
MTs
MA
RA
Jurusan yang diminati
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Tahfizh Alqur'an
Reguler
Nama lengkap
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NIK dan NISN
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Tempat, tanggal lahir
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Jenis kelamin
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Anak ke
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Jumlah saudara kandung
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Sekolah asal
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NPSN Sekolah asal
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NSM Sekolah asal
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Alamat Sekolah asal
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Surat keterangan lulus
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Nomor peserta ujian
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Nomor dan tahun ijazah
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Nama ayah
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Pekerjaan ayah
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Nama ibu
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Pekerjaan ibu
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Alamat orangtua
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Alamat orangtua
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Desa, RT/RW
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Kecamatan
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Kabupaten
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Provinsi
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Nomor kartu keluarga
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Nomor HP
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