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Formulir Pendaftaran Santri Baru Madrasah Diniyyah Ibnu Umar Angkatan Ke 2
Jl. Boyolali-Klaten Km 1, Kemiri, Mojosongo, Boyolali (Barat Kantor Pemda)
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Nama Lengkap
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Nama Panggilan
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Tempat Lahir
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Tanggal Lahir
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MM
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DD
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Usia
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Tingkat
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SMA
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Jenis Kelamin
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Laki-Laki
Perempuan
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Kelas dan Sekolah
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Pencapaian
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Iqra'
Al-Qur'an
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Syahriah (Infaq Bulanan)
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Rp150.000
Rp200.000
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