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Formulir Pendaftaran
* Isi Data Menggunakan Huruf Kapital (Huruf Besar)
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NOMOR NISN
*
Isi Dengan : Nomor Induk Siswa Nasional (NISN)
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NAMA
*
Your answer
TEMPAT, TANGGAL LAHIR
*
Your answer
ALAMAT
*
Your answer
JENIS KELAMIN
*
Choose
LAKI-LAKI
PEREMPUAN
NO. HP ("WHATSAPP" AKTIF)
Your answer
NAMA AYAH KANDUNG
Your answer
NAMA IBU KANDUNG
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PENGHASILAN ORANG TUA
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Rp. 1.000.000,-
Rp. 1.000.000,- s/d Rp. 2.000.000,-
Rp. 2.000.000,- s/d Rp. 5.000.000,-
Rp. 5.000.000,- s/d Rp. 10.000.000,-
di atas Rp. 10.000.000,-
No. HP Orang Tua
*
Your answer
ASAL SEKOLAH
*
Isikan dengan lengkap asal sekolah SMP/MTs
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CEK LAGI, APAKAH DATA YANG ANDA ISI SUDAH BENAR/SESUAI.
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