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FORMULIR PENDAFTARAN
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No.
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Nama Siswa :
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, Hal 1 - 6.

I. DATA PRIBADI SISWA

A. Identitas Siswa
1. Nama Lengkap *
2. Nama Panggilan
3.a. Tempat Lahir
3.b. Tanggal Lahir *
4. Jenis Kelamin *
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> Laki-laki Notice: Undefined variable: data in /home/u980423386/public_html/zyro/8.php on line 315
> Perempuan
5.a. Jumlah Saudara Kandung.
5.a. Nama Saudara Kandung.
Tuliskan: nama, jenis kelamin, tanggal lahir, pendidikan.
5.b. Jumlah Saudara Tiri
5.b. Nama Saudara Tiri.
Tuliskan: nama, jenis kelamin, tanggal lahir, pendidikan.
5.c. Jumlah Saudara Angkat.
5.c. Nama Saudara Angkat.
Tuliskan: nama, jenis kelamin, tanggal lahir, pendidikan.
6. Agama
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> Kristen Notice: Undefined variable: data in /home/u980423386/public_html/zyro/8.php on line 352
> Budha Notice: Undefined variable: data in /home/u980423386/public_html/zyro/8.php on line 353
> Hindu Notice: Undefined variable: data in /home/u980423386/public_html/zyro/8.php on line 354
> Konghucu
7. Kewarganegaraan
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> WNA
8. Bahasa
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> Indonesia
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> Daerah
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9. Alamat Rumah *
10. Bertempat tinggal dengan :
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> Orang tua
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> Lainnya :