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Formulir Pendaftaran PT. YMPI
PT. YMPI
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Nama
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NIK
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Tempat Lahir
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Tanggal Lahir
MM
/
DD
/
YYYY
Asal Sekolah (HURUF BALOK)
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Jurusan (Disingkat, Contoh : AK, TL, TP, TKR, DKV, RPL)
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Alamat Lengkap
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Nomor HP (awali dengan tanda petik ( ' ) Contoh '0813256789)
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Tinggi Badan (cm)
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Berat Badan (Kg)
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Tahun Lulus
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