FORMULIR PENERIMAAN PESERTA DIDIK BARU

SMA NEGERI 28 GARUT

TAHUN PELAJARAN 2020/2021

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No Hp Calon Peserta Didik : .............................................................................
No HpOrang Tua : .............................................................................
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Nama Ibu : .............................................................................
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Penghasilan Orangtua per Bulan : .............................................................................
Alamat orangtua
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Desa : .............................................................................
Kecamatan : .............................................................................
Jarak tempat tinggal ke sekolah (Km) : .............................................................................
Ranking di SMP kelas IX : .............................................................................