FORMULIR PENERIMAAN CALON PESERTA DIDIK BARU

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FORMULIR PENERIMAAN CALON PESERTA DIDIK BARU

MADRASAH TSANAWIYAH NEGERI 1 BOALEMO
Jalan HOS Cokroaminoto No. 315 Desa Hungayonaa Kec. Tilamuta Kab. Boalemo

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BIODATA DIRI

ISILAH DATA BERIKUT DENGAN LENGKAP !

NAMA LENGKAP:

Your answer

NOMOR INDUK KEPENDUDUKAN (NIK) :

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TEMPAT LAHIR :

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TANGGAL LAHIR :

MM

/

DD

/

YYYY

JENIS KELAMIN :

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LAKI-LAKI

PEREMPUAN

ALAMAT :

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KECAMATAN :

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KABUPATEN :

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KODE POS :

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AGAMA :

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ISLAM

KRISTEN PROTESTAN

KRISTEN KHATOLIK

BUDHA

HINDU

KONGKHUSHU

ANAK KE :

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1

2

3

4

5

6

7

8

9

10

JUMLAH SAUDARA :

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1

2

3

4

5

6

7

8

10

PRESTASI :

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HOBI :

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CITA-CITA :

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