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Formulir Pendaftaran SD UNGGULAN EDI MANCORO Tahun Pelajaran 2020/2021
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Nama lengkap :
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Jenis Kelamin :
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Laki-laki
Perempuan
Tempat, Tanggal Lahir :
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Alamat :
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Anak ke :
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Jumlah saudara :
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Berat badan :
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Tinggi Badan :
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Nama Asal Sekolah :
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Nomor KK (Kartu Keluarga) :
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Nama Ayah :
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Pekerjaan Ayah :
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Nama Ibu :
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Pekerjaan Ibu :
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No. HP/ Telp yang dapat dihubungi :
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