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B. IDENTITAS SISWA

Laki-laki      
Perempuan
:
Islam    
Kristen    
Khatolik    
Hindhu    
Budha    
RT * RW *
:
:
:
Angkutan Umum    
Kendaraan Pribadi    
Jalan Kaki    
:
:
A    
B    
AB    
O    
:
:
:

C. IDENTITAS ORANG TUA (AYAH)

:
:
:
Islam
Kristen
Khatolik
Hindhu
Budha
:
:
:
:
500.000 - 1 Juta    
1-3 Juta    
> 3 Juta    

D. IDENTITAS ORANG TUA (IBU)

:
Islam    
Kristen    
Khatolik    
Hindhu    
Budha    
:
:
:
:
500.000 - 1 Juta    
1-3 Juta    
> 3 Juta    

E. IDENTITAS ORANG TUA (WALI)

:
:
:
Islam    
Kristen    
Khatolik    
Hindhu    
Budha    
:
:
:
:
:
500.000 - 1 Juta    
1-3 Juta    
> 3 Juta    
 *) Perhatikan Besar Kecil Tulisan

Informasi Pendaftaran

Biaya SPI & Seragam

No Biaya Jumlah
1 Biaya SPP Rp 70.000 / bulan ,-

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