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formulir pendaftaran kegiatan Ekstrakulikuler(Ekskul) Kelas X SMK terpadu Insani
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Nama Lengkap
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Jenis Kelamin
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Tempat, tanggal lahir
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kelas
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Alamat
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nomor handphone
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pilihan ekstrakulikuler(maksimal 2)
english club
futsal
Palang Merah Remaja
Paskibraka
pencak silat
pramuka
Alasan
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