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DAFTAR CALON SANTRI BARU
Pondok Pesantren Qotrun Nada
Tahun Pelajaran 2024/2025
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Nama Lengkap Calon Santri
*
MENGGUNAKAN HURUF KAPITAL
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Unit Jenjang
*
Calon Lulusan/Lulusan SD/MI/Paket A silahkan pilih MTs
Calon Lulusan/Lulusan SMP/MTs/Paket B silahkan pilih MA
MTs
MA
Nomor Induk Siswa Nasional (NISN)
*
10 Digit - Jika belum memiliki agar meminta dari Sekolah/Madrasah asal
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Tempat Lahir
*
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Tanggal Lahir
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MM
/
DD
/
YYYY
Jenis Kelamin
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Laki-laki
Perempuan
Nama Sekolah Asal
*
Contoh :
SDN Cipayung 09
MTs Assalafiyah
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Jenis Sekolah Asal
*
SD
MI
Paket A
SMP
MTs
Paket B
Other:
Provinsi Sekolah Asal
*
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Kabupaten/Kota Sekolah Asal
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Your answer
Nama Orang Tua
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Alamat Lengkap Calon Santri
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Nomor Whatsapp
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