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PENDAFTARAN PESERTA DIDIK BARU (PPDB) SMP 1 BARUNAWATI TAHUN AJARAN 2021/2022
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NAMA CALON PESERTA DIDIK
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TEMPAT LAHIR
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TANGGAL LAHIR
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MM
/
DD
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YYYY
JENIS KELAMIN
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LAKI-LAKI
PEREMPUAN
AGAMA
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ISLAM
KRISTEN PROTESTAN
KRISTEN KATOLIK
HINDU
BUDHA
KONGHUCU
ASAL SEKOLAH
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NISN (Jika tidak mengetahui NISN siswa, dapat di cek melalui link berikut:
https://referensi.data.kemdikbud.go.id/nisn/index.php/Cindex/formcaribynama
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NAMA ORANG TUA/WALI
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NOMOR TELFON/HP ORANG TUA
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NOMOR TELFON/HP CALON PESERTA DIDIK
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ALAMAT RUMAH
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RT/RW
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KELURAHAN
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KECAMATAN
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KOTA DAN KODE POS
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TANGGAL PENDAFTARAN
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MM
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DD
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YYYY
CATATAN
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