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pengajuan peserta didik diluar dapodik
HARAP MENGISI DATA BERIKUT DENGAN SEBENARNYA!
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NAMA LENGKAP
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JENIS KELAMIN
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NIK
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NISN
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TEMPAT LAHIR
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TANGGAL LAHIR
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NAMA IBU KANDUNG
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AGAMA
KEWARGANEGARAAN
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ALAMAT
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PROVINSI
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KABUPATEN/KOTA
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KECAMATAN
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KELAS
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LAMPIRKAN POTOKOPY KK KESMA 10 PALEMBANG
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