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Biodata Peserta Didik Kelas XI
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Nama
*
Isi dengan huruf kapital
Your answer
Kelas
*
Klik salah satu lingkaran kecil
XI BHS
XI IPA-1
XI IPA-2
XI IPA-3
XI IPA-4
XI IPS-1
XI IPS-2
XI IPS-3
XI IPS-4
XI IPS-5
Nomor Induk Kependudukan (NIK)
*
Silahkan Lihat di Kartu Keluarga (KK), 16 digit.
Your answer
Telepon Rumah
Isi jika ada
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Nomor HandPhone (HP)
*
Isi nomor HP anda
Your answer
Email
*
Isi alamat email Anda
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