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Formulir PPDB MTs Al-Mukarromah Sampang Tahun Pelajaran 2023/2024
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Nama
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NISN
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Tempat Lahir
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Tanggal Lahir
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MM
/
DD
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YYYY
Alamat Lengkap
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Jenis Kelamin
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Laki-laki
Perempuan
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Sekolah/Madrasah Asal
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Nomor Telephon/WA
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Nama Ayah
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Nama Ibu
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Pekerjaan Ayah
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Pekerjaan Ibu
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Pendidikan Ayah
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Pendidikan Ibu
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Nomor Induk Kependudukan (NIK)
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Nomor KK
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Nomor KIP (Bila Memiliki)
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Ranking di Kelas 6 (Biarkan bila ranking di atas 10)
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10
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Prestasi Lomba (Bila memiliki)
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