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Form Registrasi Persija Academy
Form Registrasi Persija Academy
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Biodata
-
Step
1
of 3
Nama Lengkap
*
Tempat Lahir
*
Tanggal Lahir
*
NISN
Phone
*
Email
*
Alamat Lengkap
*
Akta Kelahiran
*
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Pas Foto Bewarna
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Kartu Keluarga
*
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Ijazah Terakhir
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Rapor Semester Terakhir
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Next
Nama Ayah
No Tlp/Hp Ayah
*
Pekerjaan Ayah
Foto KTP Ayah
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Nama Ibu
No Tlp/Hp Ibu
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Tinggi Badan
Berat Badan
Golongan darah
A
B
O
AB
Penyakit/Alergi
Isi tidak ada jika tidak ada
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