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FORMULIR PENDAFTARAN
PPDB SMA dan SMK PROVINSI SUMATERA UTARA
TAHUN PELAJARAN 2021/2022
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DATA PENDAFTAR
Isikan Identitas diri Anda pada kolom isian yang tersedia dengan data-data dalam SKHUN dan Kartu Keluarga
NISN
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Your answer
Nama Lengkap
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Your answer
Asal SMP/MTs/Paket B
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Your answer
Jenis Kelamin
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Choose
Laki - Laki
Perempuan
Tempat/Tgl. Lahir
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Your answer
Nama Orang Tua
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Your answer
Alamat Rumah
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Kelurahan/desa, Kecamatan, Kab/Kota, Provinsi
Your answer
NIK
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Your answer
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