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Rabu, 11 Juni 2014

PENERIMAAN PESERTA DIDIK BARU SMPN2 SELAT TAHUN PELAJARAN 2014/2015



PENERIMAAN PESERTA DIDIK BARU SMPN2 SELAT TAHUN PELAJARAN 2014/2015

A. SPANDUK PSB 2014/2015




B. FORMULIR PENDAFTARAN

PEMERINTAH KABUPATEN KAPUAS
DINAS PENDIDIKAN 
SMP NEGERI 2 SELAT
Jln. Jend. Sudirman No. 170 Telp. (0513) 21097 Kuala Kapuas
E-mail: smpn2selat@gmail.com http://smpnegeri2selat.blogspot.com/
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FORMULIR PENDAFTARAN PESERTA DIDIK BARU
TAHUN PELAJARAN 2014/2015

Nomor Pendaftaran              : …………………………………………………………….
Nama Siswa                           : ............................................................................................
Jenis Kelamin                          : ……………………………………………………………
Tempat, Tanggal Lahir            : ............................................................................................
Agama                                     : ............................................................................................
Alamat Siswa                          : ...........................................................................................

Sekolah Asal                          : ............................................................................................
Jumlah Nilai Ujian Nasional   : ............................................................................................
STTB/Ijazah SD/MI Tahun     : ............................................................................................
Nomor STTB/Ijazah SD/MI   : ............................................................................................

Orang Tua
            a. Ayah                        : ............................................................................................
            b. Ibu                           : ............................................................................................
Alamat Orang Tua                  : ............................................................................................
No HP/Telepon Orang Tua     : ............................................................................................
Pekerjaan Orang Tua
            a. Ayah                        : ............................................................................................
            b. Ibu                           : ............................................................................................

Nama Wali                             : ............................................................................................
Alamat Wali                            : ............................................................................................
No HP/Telepon Wali               : ............................................................................................
Pekerjaan Wali                        : ............................................................................................

Prestasi yang Pernah Diraih
            1 ..........................................................................................
            2 ..........................................................................................
            3 ..........................................................................................
            4 ..........................................................................................
           
                                                                                    Kuala Kapuas, ………………
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                                                                                    Orang Tua/Wali,




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