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Form Pendaftaran PPDB SMP IT Mentari Ilmu
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Nama Lengkap
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Jenis Kelamin
Laki Laki
Perempuan
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NIK ( Nomor Induk Kependudukan)
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NISN
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Nomor KIP (Jika Ada)
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Tempat Lahir
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Tanggal Lahir ( Contoh : 24 Agustus 2020)
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Alamat lengkap
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Asal Sekolah
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SDN Nagasari 6
SDN Nagasari 2
SDN Karawang Kulon 2
SDN Karang Pawitan 1
SDN Anggadita 1
SDN Kondang Jaya 3
SD IT LAMPU IMAN
SD IT HARAPAN UMMAH
SD IT ABATA
SD IT AT TAUBAH
SD IT Al Mumtaaz
SD PURI ARTHA
Sekolah Alam Alam
MI ARROHMAH
MI AL IANAH
Asal Sekolah (Jika Nama Sekolah Belum di List)
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Riwayat Prestasi Akademik
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Riwayat Prestasi Keagamaan
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Riwayat Prestasi Olahraga
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Riwayat Prestasi Kesenian
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Riwayat Penyakit/Alergi
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Nama Ayah
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Tempat Bekerja Ayah
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Jabatan
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No HP Ayah
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Nama Ibu
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Tempat Bekerja Ibu
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Jabatan
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No HP Ibu
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