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PPDB SMP KRIDA UTAMA TAPEL 2021/2022
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NO. PENDAFTARAN ( di isi oleh Panitia )
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NAMA LENGKAP
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JENIS KELAMIN
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LAKI - LAKI
PEREMPUAN
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NIK
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NISN ( Di Isi Jika Sudah Ada)
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TEMPAT LAHIR
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TANGGAL LAHIR
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DD
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ALAMAT LENGKAP ( Jalan/Rt/Rw/Desa)
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KECAMATAN
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KOTA/KAB
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PROVINSI
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KODE POS
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ASAL SEKOLAH
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ALAMAT SEKOLAH ASAL
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NO. UASBN ( Di Isi Jika Sudah Ada)
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