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FORMULIR PEMILIHAN MINAT SISWA LULUS SELEKSI SMA NEGERI 1 BANJARMASIN T.A 2021/2022
ISI DATA DIRI MENGGUNAKAN HURUF KAPITAL
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NISN (NOMOR INDUK SISWA NASIONAL)
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Your answer
NAMA LENGKAP SESUAI IJAZAH
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Your answer
JENIS KELAMIN
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LAKI - LAKI
PEREMPUAN
TEMPAT LAHIR
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Your answer
TANGGAL LAHIR
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MM
/
DD
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YYYY
AGAMA
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ISLAM
KRISTEN
KATHOLIK
BUDHA
HINDU
KONG HU CHU
ALAMAT LENGKAP
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Your answer
ANAK KE BERAPA DALAM KK(KARTU KELUARGA)
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Your answer
NAMA ORANG TUA (AYAH KANDUNG)
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Your answer
NAMA ORANG TUA (IBU KANDUNG)
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Your answer
NO HP ORANG TUA SISWA (W.A)
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Your answer
NO HP ANAK/SISWA (W.A)
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ASAL SEKOLAH
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