Psbs Pratama.docx
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A. Data Siswa 1. Nama Lengkap / Panggilan : ....................... / ............. 2. Tempat Tgl Lahir
: .................... / .......................
3. Agama
:
4. Alamat
: ......................................................
Islam
Hindu Budha Protestan Kong Hu Chu
....................................................... 5. No Hp
: ................................................
6. Kompetensi Keahlian yg
: 1. Teknik Komputer dan Jaringan
di pilih
4.Teknik Kendaraan Ringan
2. Teknik Audio Video
5 Perawat
3. Teknik Sepeda Motor
6. Farmasi
B. Data Orang Tua 1. Nama Ayah dan Ibu
: ............................................................ / ...............................................
2. Tahun Lahir
: ............................................................ / ...............................................
3. Agama
: ............................................................ / ...............................................
4. Pendidikan
: ............................................................ / ...............................................
5. Pekerjaan
: ............................................................ / ...............................................
6. Penghasilan/bulan
: ............................................................ / ...............................................
7. No HP/WA
: ............................................................ / ...............................................
Padang...............................2019 Panitia PPDB
Calon Siswa
____________
__________________
di isi foto2 kegiatan
: .................... / .......................
3. Agama
:
4. Alamat
: ......................................................
Islam
Hindu Budha Protestan Kong Hu Chu
....................................................... 5. No Hp
: ................................................
6. Kompetensi Keahlian yg
: 1. Teknik Komputer dan Jaringan
di pilih
4.Teknik Kendaraan Ringan
2. Teknik Audio Video
5 Perawat
3. Teknik Sepeda Motor
6. Farmasi
B. Data Orang Tua 1. Nama Ayah dan Ibu
: ............................................................ / ...............................................
2. Tahun Lahir
: ............................................................ / ...............................................
3. Agama
: ............................................................ / ...............................................
4. Pendidikan
: ............................................................ / ...............................................
5. Pekerjaan
: ............................................................ / ...............................................
6. Penghasilan/bulan
: ............................................................ / ...............................................
7. No HP/WA
: ............................................................ / ...............................................
Padang...............................2019 Panitia PPDB
Calon Siswa
____________
__________________
di isi foto2 kegiatan
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