BIODATA SISWA KELAS X SMA N 3 PATI

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BIODATA SISWA KELAS X SMA N 3 PATI

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* Indicates required question

NAMA LENGKAP *

Your answer

KELAS *

Choose

X MIPA 1

X MIPA 2

X MIPA 3

X MIPA 4

X MIPA 5

X MIPA 6

X MIPA 7

X MIPA 8

X MIPA 9

X IPS 1

X IPS 2

X IPS 3

NISN *

Your answer

TEMPAT, TANGGAL LAHIR *

Your answer

JENIS KELAMIN *

Laki-Laki

Perempuan

ALAMAT LENGKAP (Rt, Rw, Dukuh, Desa, Kecamatan) *

Your answer

NO. HP SISWA *

Your answer

NAMA ORANGTUA/WALI *

Your answer

NO. HP ORANG TUA *

Your answer

Submit

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