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DATA DIRI SISWA GEN-B

1. Nama Siswa : .........................................................


2. Tempat Lahir : .........................................................
3. Tanggal Lahir : .........................................................
4. Jenis Kelamin : .........................................................
5. Agama : .........................................................
6. Nama Sekolah : .........................................................
7. Status Dalam Keluarga : .........................................................
8. Anak Ke : .........................................................
9. Nama Orang tua
Ayah : .........................................................
Ibu : .........................................................
10. Alamat Tinggal : .........................................................
.........................................................
11. No. Telp. WA Orang Tua : .........................................................
12. No. Telp. WA Siswa : .........................................................
13. Email siswa : .........................................................
14. Media Sosial Siswa : ...................................................
F ...................................................

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