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BIODATA CALON PENDAFTAR PROGRAM BIDIK

MISI
SMAN 1 SEWON 2016
Nama Lengkap

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Tempat / tanggal lahir
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Jenis kelamin

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Kelas

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NIS

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NISN

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Alamat

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E-mail
No. HP

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Nama Ayah Kandung

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Nama Ibu Kandung

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Anak ke

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Pekerjaan Ayah

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Pekerjaan Ibu

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dari

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bersaudara

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Penghasilan Ayah : Rp............................................................................
Penghasilan Ibu

: Rp

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Sewon ,
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Calon pendaftar

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