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Formulir Peserta Didik SMA CENDEKIA 2023-2024
Jl. Raya Lingkar Timur, Rangkah Kidul, Sidoarjo (031-8945606)
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Nama Lengkap
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Asal Sekolah
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Jenis Kelamin
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Laki-Laki
Perempuan
Tempat & Tanggal Lahir
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Usia
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Nomor Peserta UN
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NISN
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Nomor Seri Ijazah
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Nomor Seri SKHU
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No Ujian Nasional
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No Induk Kependudukan (Nik)
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No KK (Kartu Keluarga)
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Agama
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Berkebutuhan Khusus
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Iya
Tidak
Alamat Lengkap
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Alat Trasportasi Sekolah
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Jalan Kaki
Sepeda
Motor
Mobil
Transportasi Umum
Ojek Online
No Telp Orang tua
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No Telp Siswa
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Email Pribadi
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Apakah Sebagai Penerima KPS (Kartu Perlindungan Sosial)
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IYA
TIDAK
Jika iya harap mencantumkan jenis dan no KPS (Kartu Perlindungan Sosial)
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Tinggi Badan
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Berat Badan
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Jumlah Saudara Kandung
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Jarak tempat tinggal ke sekolah
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Waktu tempuh ke sekolah
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