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BIODATA SISWA KELAS VI

TAHUN PELAJARAN 2021/2022

1. NAMA LENGKAP :.....................................................................................................


2. NAMA PANGGILAN :.....................................................................................................
3. TEMPAT & TANGGAL LAHIR :.....................................................................................................
4. UMUR :.....................................................................................................
5. JENIS KELAMIN :.....................................................................................................
6. AGAMA :.....................................................................................................
7. NAMAORANG TUA
A. AYAH : ...................................................................................................
B. IBU :.....................................................................................................
8. PEKERJAAN ORANG TUA
A. AYAH :.....................................................................................................
B. IBU :.....................................................................................................
9. ALAMAT :.....................................................................................................
......................................................................................................
10. NO. TELEPON :.....................................................................................................
11. HOBI :.....................................................................................................
12. CITA – CITA :.....................................................................................................

Orang Tua

Mohon dilampiri dengan :


1. Foto copy Akte Kelahiran / Surat Kenal Lahir (3 lembar)
2. Foto copyKartu Keluarga (KK) (3 lembar)
3. Foto ukuran 3x4 (3 lembar)

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