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FORMULIR PENDAFTARAN SEMENTARA
IDETITAS CALON PESERTA DIDIK
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Nama Lengkap ( Sesuai dengan Ijazah & SKHUN )
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Nama Panggilan
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Tempat Lahir
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Tanggal Lahir
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MM
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DD
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YYYY
Agama
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Alamat
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Tlpn/No.HP
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Nama Orang Tua
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Asal Sekolah
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Contoh : SDN XXX
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Tamatan/Lulus Tahun Pelajaran
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