DATA SISWA

Nomor Induk
Nama Lengkap Siswa
Jenis Kelamin
Tempat dan Tanggal Lahir
Alamat
Agama
Anak Nomor
Jumlah Saudara
Berat Badan
Tinggi Badan
Pendidikan sebelumnya

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a. Nama SD asal
b. Alamat

Nama Orang Tua
a. Ayah
Umur
Pendidikan Tertinggi
Pekerjaan
Agama
Alamat
b. Ibu
Umur
Pendidikan Tertinggi
Pekerjaan
Agama
Alamat

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Jumlah Anggota Keluarga
a. Dewasa
b. Anak

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Surakarta, ....................................
Orang Tua Murid

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urakarta, ....................................
Orang Tua Murid

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