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FORMAT ISIAN DAFTAR ULANG

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


TEMPAT, TGL. LAHIR : .......................................................................
NIS : .......................................................................
NISN : .......................................................................
KELAS ASAL : .......................................................................
KELAS BARU : .......................................................................
WALI KELAS : .......................................................................

SAYA LAMPIRKAN RAPOR ASLI DAN BERKAS POTO COPIAN


CEKLIST PADA KOLOM MASING-MASING

RAPOR ASLIIJAZAH SD KK AKTE KIS/KIP KTP SISWAKARTU NISN

Keterangan : .............
........ SISWA Ybs.
.......
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