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Formulir Pendaftaran Peserta Didik Baru
NURHASANAT QUR'ANIC BOARDING SCHOOL TINGKAT SMA
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Email
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Nama Lengkap Peserta Didik
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Tempat , Tanggal & Tahun Lahir
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Alamat
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Jenis Kelamin
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Laki-Laki
Perempuan
Nomer Induk Kependudukan (NIK)
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Nomer Induk Siswa Nasional (NISN)
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Asal Sekolah Sebelumnya
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Golongan Darah
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Tinggi Badan
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Berat Badan
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Memiliki penyakit yg sering Kambuh
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