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Formulir Pendaftaran PPDB Kelas VII Tapel 2015/2016
Formulir PPDB ini khusus untuk Calon Peserta Didik yang mendaftar ke SMP Negeri 1 Bangodua
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Nomor Pendaftaran
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Nama Calon Siswa
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Nomor Induk Siswa Nasional ( NISN )
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Tempat Lahir
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Tanggal Lahir
MM
/
DD
/
YYYY
Anak ke....... dari .........
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Alamat Calon Siswa
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Jarak dari rumah ke SMP Negeri 1 Bangodua ( Dalam Kilometer )
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Asal Sekolah Dasar / MI
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Nama Ayah
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Pekerjaan Ayah
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Pendidikan Ayah
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Alamat Orang tua
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HP
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Nama Ibu
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Pekerjaan Ibu
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Pendidikan Ibu
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Alamat Tinggal Ibu
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Nomor Hp
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Nilai UN Bahasa Indonesia
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Nilai UN Matematika
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Nilai UN Ilmu Pengetahuan Alam
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