Formulir Peserta Didik Baru Tahun Pelajaran 2017 2018 Format Word

PEMERINTAH KABUPATEN GARUT
DINAS PENDIDIKAN
UPTD PENDIDIKAN KEC. CIBALONG

SDN MEKARSARI O4 CIBALONG
Jl. Bangbayang – Mekarsari – Cibalong – Garut – 44176

BIODATA PESERTA DIDIK

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Nama Lengkap
Tempat / Tgl. Lahir
Tempat Tinggal Calon
Pendidikan Terakhir Tahun
NISN
Agama
Nama Orang Tua
Tempat Tinggal
Pekerjaan Orang Tua
Agama
Nama Wali Calon
Pekerjaan Wali Calon
Alamat Calon

14. Sekolah Yang Dituju ;

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PILIHAN I
PILIHAN II

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Cibalong, ................................... 2016
Mengetahui
Orang Tua / Wali Calon

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Calon Peserta Didik Baru

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