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IDENTITAS PESERTA DIDIK
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* Indicates required question
NAMA LENGKAP PESERTA DIDIK
*
TULIS/KETIK DENGAN HURUF BESAR
Your answer
NIK PESERTA DIDIK
*
Your answer
NISN
*
Your answer
LULUS PPDB SMA NEGERI 2 DUMAI PADA JALUR...
*
ZONASI
PRESTASI (PERINGKAT UMUM)
PRESTASI (AKADEMIK /NON AKADEMIK)
PRESTASI (TAHFIZ QUR'AN)
AFIRMASI
PINDAH TUGAS ORANG TUA/ ANAK KANDUNG PTK
Required
TEMPAT LAHIR
Your answer
TANGGAL LAHIR
MM
/
DD
/
YYYY
JENIS KELAMIN
*
LAKI-LAKI
PEREMPUAN
Required
AGAMA
*
ISLAM
KRISTEN PROTESTAN
KRISTEN KATOLIK
BUDHA
HINDU
LAINNYA
STATUS DALAM KELUARGA
*
ANAK KANDUNG
ANAK TIRI
ANAK ANGKAT
LAINNYA
Required
ANAK KE...
*
Your answer
ALAMAT PESERTA DIDIK
*
Your answer
NO HP PESERTA DIDIK
*
Your answer
SEKOLAH ASAL
*
Your answer
NAMA AYAH
*
Your answer
NAMA IBU
*
Your answer
ALAMAT ORANG TUA
*
Your answer
NO HP AYAH
Your answer
NO HP IBU
Your answer
PEKERJAAN AYAH
Your answer
PEKERJAAN IBU
Your answer
NAMA WALI PESERTA DIDIK
Your answer
NO HP WALI
Your answer
ALAMAT WALI
Your answer
PEKERJAAN WALI
Your answer
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