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HIMPUNAN SISWA NAHDLATUSY

SYUBBAN
L′ORGANISATION DES ÉTUDIANTS DE NAHDLATUSY SYUBBAN
Jl. Ratu Kalinyamat Km. 03 Blingoh Donorojo Jepara 59454 Telepon ( 0291 ) 578 230

BLANGKO PENDAFTARAN
EXTRAKURIKULER / PENGEMBANGAN DIRI
MTs ISLAMIYAH BLINGOH
TAHUN PELAJARAN 2020/2021

NAMA : .........................................................................................................

TTL : .........................................................................................................

KELAS : .........................................................................................................

ALAMAT : RT ........... RW........... DESA..........................................................

EXTRAKURIKULER

PILIHAN WAJIB 1 : .........................................................................................................

PILIHAN WAJIB 2 : .........................................................................................................

Mengetahui
Wali Murid Peserta Didik

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