AN – NASHR Kp. Suniasari Rt. 02 Rw. 04 Ds. Mekarjaya Kec. Tarogong Kaler Kab. Garut
FORMULIR PESANTREN
I.Santri
Nama Lengkap :.....................................................................................................................................
Nama Panggilan :..................................................................................................................................... NIK :……………………………………………………………………………………………… NISN :……………………………………………………………………………………………… Alamat Lengkap :..................................................................................................................................... ...................................................................................................................................... Tempat Tanggal Lahir :.................................................................................................................................... No Hp/WA :....................................................................................................................................
II. Orang Tua/Wali Santri
Nama Ayah :............................................................................................................................................ NIK :………………………………………………………………………………………………….. Pekerjaan :............................................................................................................................................ No Hp/ WA :............................................................................................................................................ Nama Ibu :............................................................................................................................................ NIK :………………………………………………………………………………………………….. Pekerjaan :............................................................................................................................................ No Hp/ WA :............................................................................................................................................
Catatan :
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