FORM PENDAFTARAN SISWA BARU TA 2025/2026
SD TUNAS KARYA 1
DATA CALON PESERTA DIDIK
Nama Lengkap
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Nama Panggilan
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Nomor Induk Kependudukan
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Nomor Kartu Keluarga
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Tempat Lahir
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Tanggal Lahir
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Tahun
Jenis Kelamin
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L
P
Alamat
Jalan
Kelurahan
Kecamatan
Kabupaten
Kota/Kabupaten
Anak Ke-
Nama Sekolah Asal
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Data Orang Tua
Nama Ayah Kandung
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Tanggal Lahir Ayah
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Tanggal
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Bulan
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Tahun
Pekerjaan Ayah
Pendidikan Terakhir
Status
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Masih Hidup
Sudah Meninggal
Nama Ibu Kandung
*
Tanggal Lahir Ibu
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31
Tanggal
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January
February
March
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October
November
December
Bulan
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2002
2001
2000
1999
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1996
1995
1994
1993
1992
1991
1990
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1988
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1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
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1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
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1956
1955
1954
1953
1952
1951
1950
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1948
1947
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1943
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1920
Tahun
Pekerjaan Ibu
*
Pendidikan Terakhir
Status
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Masih Hidup
Sudah Meninggal
Nomor Telepon/HP
Data Pendukung
Scan/Foto KK
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Pilih Pas foto
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Scan/Foto Akte Kelahiran
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