BIODATA SISWA

KELAS X TEKNIK OTOMOTIF 1

SMK NEGERI 2 CIAMIS
TAHUN PELAJARAN 2022/2023

1. Nama Peserta Didik :

...................................................................................................
2. NISN :
...................................................................................................
3. Jenis Kelamin :
...................................................................................................
4. Tempat/Tgl. Lahir :
...................................................................................................
5. Agama :
...................................................................................................
6. Alamat Peserta Didik :
RT/RW..............................Dusun : ..........................................
Desa : ........................................................................................
Kec : .........................................................................................
Nomor Tlp./HP : .......................................................................
7. Asal Sekolah : ...................................................................................................
8. Rangking pada sekolah asal (apabila masuk 10 besar) :
Smtr 1 Smtr 2 Smtr 3 Smtr 4 Smtr 5 Smtr 6

9. Nama Orang Tua

a. Ayah : ...................................................................................................
b. Ibu : ...................................................................................................
10. Alamat Orang Tua : RT/RW..............................Dusun : ..........................................
Desa : ........................................................................................
Kec : .........................................................................................
Nomor Tlp./HP : .......................................................................
11. Pekerjaan Orang Tua : ...................................................................................................
12. Jumlah Saudara Kandung : ……………Orang
13. Jarak dari Rumah
Kesekolah : ……………. Km
14. Kendaraan yang di
gunakan Kesekolah : Sepeda Motor Pribadi Naik kendaraan Umum
Jalan Kaki Ikut berboncengan dengan Teman
15. Nama Wali : ...................................................................................................
16. Alamat Wali : RT/RW..............................Dusun : ..........................................
Desa : ........................................................................................
Kec : .........................................................................................
Nomor Tlp./HP : .......................................................................
17. Pekerjaan Wali : ...................................................................................................

Ciamis, __________ 2022

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