FORMULIR CALON PESERTA DIDIK SMP YUWATI BHAKTI

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FORMULIR CALON PESERTA DIDIK SMP YUWATI BHAKTI

KETERANGAN PRIBADI PESERTA DIDIK

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Nama Lengkap ( Sesuai Akta Lahir)

Your answer

Jenis Kelamin *

Laki-laki

Perempuan

Tempat, tanggal lahir *

Your answer

Agama *

Katolik

Kristen

Islam

Hindu

Budha

Konghucu

Kepercayaan

Jumlah Saudara Kandung (Nama, Umur, Tempat (Sekolah/Kerja) *

Your answer

Warga Negara *

Your answer

Alamat tempat tinggal *

Your answer

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