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Formulir Pendaftaran Calon Peserta Didik Baru Tahun Pelajaran 2020/2021
MTs Muhammadiyah Wonosari
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MATSMURI Religius - Cendekia
DATA PRIBADI
NISN
Your answer
NIK
Your answer
Nama Lengkap
*
Your answer
Tempat Lahir
*
Your answer
Tanggal, Lahir
*
MM
/
DD
/
YYYY
Jenis Kelamin
*
Laki - Laki
Perempuan
Hobi
Your answer
Cita - Cita
Your answer
Jumlah Saudara
Your answer
Anak Ke
Your answer
No. HP
Your answer
Tempat Tinggal
Dusun, RT/RW
*
Your answer
Desa/Kelurahan
*
Your answer
Kecamatan
*
Your answer
Kabupaten
*
Your answer
Provinsi
*
Your answer
Kode Pos
Your answer
Jarak Rumah Ke sekolah
Your answer
Transportasi yang Digunakan
Jalan Kaki
Sepeda
Sepeda Motor
Antar Jemput
Angkutan Umum (Bus, Angkot, Ojek)
Mobil Pribadi
Other:
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Nomor Kartu Keluarga
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Status Tempat Tinggal Siswa
Tinggal dengan Orangtua/Wali
Tinggal dengan Saudara
Kontrak/Kos
Panti Asuhan
Pesantren
Other:
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PENDIDIKAN
Asal Sekolah
*
Your answer
Jenis Sekolah
*
SD
MI
Paket A
Other:
Status Sekolah
*
Negeri
Swasta
Other:
Nomor Peserta Ujian SD/MI
Your answer
Nomor SKHUN
Your answer
Nomor Ijazah
Your answer
NPSN Sekolah
Your answer
Total Nilai UN
Your answer
Prestasi yang Pernah diraih
Prestasi
Your answer
Tingkat
Your answer
ORANGTUA
Nama Ayah
Your answer
Tahun Lahir
Your answer
Status Ayah
Masih Hidup
Sudah Meninggal
Other:
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NIK
Your answer
Pendidikan
Your answer
Pekerjaan
Your answer
Nama Ibu
Your answer
Tahun Lahir
Your answer
Status Ibu
Masih Hidup
Sudah Meninggal
Other:
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NIK
Your answer
Pendidikan
Your answer
Pekerjaan
Your answer
Nama Wali
Your answer
Pekerjaan
Your answer
Rata - Rata Penghasilan Orangtua Perbulan
Kurang Dari Rp 500.000
Rp 500.000 - Rp 1.000.000
Rp 1.000.000 - Rp 2.000.000
Rp 2.000.000 - Rp 5.000.000
lebih dari 5.000.000
Clear selection
Nomor KKS/KPS
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Nomor Kartu PKH
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Nomor KIP
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Tanggal Pendaftaran
MM
/
DD
/
YYYY
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