PPDB #4339 – SKH IDAMAN HATI

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 :

Williamgaurl

Laki - Laki

Williamgaurl

1986-03-04

Williamgaurl

Williamgaurl

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 :

Williamgaurl

Williamgaurl

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87136654813

83461298879

pilih

pilih

Kepala Sekolah

( Nurhasanah, S.H.I., S.Pd )

Orang Tua / Wali*

( Williamgaurl )

*PPDB Sekolah SKH IDAMAN HATI 2022 / 2023