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PPDB MI DARUL ULUM REJOMULYO
Formulir Pendaftaran Siswa Baru 2021/2022
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NAMA LENGKAP
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JENIS KELAMIN
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LAKI-LAKI
PEREMPUAN
NIK SISWA
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TEMPAT LAHIR
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TANGGAL LAHIR
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ANAK KE-
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JUMLAH SAUDARA
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NISN
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ASAL SEKOLAH
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Nomor HP (WA)
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NOMOR KARTU KELUARGA (KK)
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NAMA IBU KANDUNG SESUAI AKTA
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NAMA AYAH
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NIK AYAH
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PEKERJAAN AYAH
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NAMA IBU
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NIK IBU
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PEKERJAAN IBU
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ALAMAT
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TANGGAL MENDAFTAR
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