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FORMULIR Identitas Pendaftaran
ISILAH DENGAN HURUF KAPITAL

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PPDB 2018
SMK MUHAMMADIYAH 1
MARGA TIGA
: ...................................... Pekerjaan :...........................
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Keterangan:
*) PERSYARATAN YNAG BELUM LENGKAP DAPAT MENYUSUL
Minat Jurusan (Bahan Pertimbangan
Jurusan) : Lampung Timur, 201...
Pendaftar
Pemasaran
Teknik Komputer dan Jaringan
TEKNIK KENDARAAN RINGAN (OTOMOTIF)
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PARIWISATA (TATA BOGA)
Potong Disini
Bukti Pendaftaran untuk Calon Siswa

No. Pendaftaran : ................/PSB-SMKMUHIMA/III.4AU/F/201.....


Nama Calon Siswa : ...................................................................................
Jenis Kelamin : ...................................................................................
NISN : ...................................................................................
Tempat, Tanggal Lahir : ...................................................................................
Asal Sekolah : ...................................................................................