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FORMULIR PENDAFTARAN SISWA BARU

TAHUN AJARAN 2015/2016


RA KHADIJAH 26 TEGALSARI

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Nama Lengkap
Tempat Tanggal Lahir
Jenis Kelamin
Anak Ke
Jumlah Saudara
Alamat
Agama
Nama Orang Tua
Ayah
Ibu
9. Pendidikan Orang Tua
Ayah
Ibu
10. Pekerjaan Orang Tua
Ayah
Ibu
11. Alamat
12. Tlpn/Hp
13. Keterangan

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Tegalsari,.2015
Orang Tua/Wali
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