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Formulir Pendaftaran Santri Baru Pondok Pesantren Abu Manshur 1
HARAP DIISI DENGAN LENGKAP, CEK KEMBALI SEBELUM MENEKAN TOMBOL KIRIM
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Data Calon Santri
Nama Lengkap Calon Santri
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Your answer
Tempat Lahir
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Tanggal Lahir
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MM
/
DD
/
YYYY
Jenis Kelamin
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Laki-Laki
Perempuan
NISN
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NIK
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Asal Sekolah
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Alamat Siswa
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Nama Jalan / Blok / Gang beserta No. Rumah dan RT RW
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Desa / Kelurahan
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Kecamatan
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Kota / Kabupaten
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Provinsi
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Pilihan Sekolah
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SMP
MA
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