DINAS PENDIDIKAN DAN KEBUDAYAAN
Sekolah SKH IDAMAN HATI
Jl Prabu siliwangi, RT 03/01 Kp Gembor, Kel. Gembor, Kec. Periuk Kota Tangerang 15133
A. IDENTITAS CALON PESERTA DIDIK
1. Nama Lengkap :
2. Jenis Kelamin :
3. Tempat Lahir :
4. Tanggal Lahir :
5. NISN :
6. NIK :
7. Agama :
8. Alamat :
AndrewsoB
Laki - Laki
AndrewsoB
1987-05-08
AndrewsoB
AndrewsoB
Islam, Kristen, Budha, Hindu
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B. DATA ORANG TUA / WALI
1. Nama
A. Nama Ayah :
B. Nama Ibu :
2. Alamat
A. Alamat Ayah :
B. Alamat Ibu :
3. No Telp. / HP
A. Ayah :
B. Ibu :
4. Pekerjaan Orang Tua
A. Ayah :
B. Ibu :
5. Pendidikan Terakhir
A. Ayah :
B. Ibu :
AndrewsoB
AndrewsoB
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¡Hola amigo! Join and play online casino games today to experience the thrill of professional gambling from anywhere in the world. casino con dinero real bolivia Take the first step and join and play online casino games on our premium platform with industry-leading features. Lee este enlace https://onlinecasinoreview.shop casino en lГnea dinero real bolivia ¡Buena suerte!
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