Pendaftaran Anggota Perpustakan

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Pendaftaran Anggota Perpustakan

SMAN 6 KABUPATEN TANGERANG

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Nama *

{nama sesuai di Ijazah dan diketik dengan huruf kapital)

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Kelas *

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Tanggal Lahir *

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Jenis Kelamin *

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Alamat Rumah *

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Kode Pos *

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Nomor HP *

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NIK *

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