Biodata Siswa
3
PEMERINTAH KABUPATEN KEDIRI DINAS PENDIDIKAN PEMUDA DAN OLAHRAGA UPTD SMKN 1 GROGOL Jl. Raya Gringging No. 199 Grogol Kediri /Fax 0354-773469 Kode Pos 64151 BIODATA SISWA 1. Nama : ............................................................ .................................................. 2. Kelas : ............................................................ .................................................. 3. Tempat/Tanggal Lahir : ............................................................ .................................................. 4. Jenis Kelamin : L / P 5. Agama : ............................................................ .................................................. 6. Alamat Rumah : ............................................................ .................................................. 7. Anak Ke : ............................................................ ..................................................
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Transcript of Biodata Siswa
PEMERINTAH KABUPATEN KEDIRI
DINAS PENDIDIKAN PEMUDA DAN OLAHRAGA
UPTD SMKN 1 GROGOL
Jl. Raya Gringging No. 199 Grogol Kediri /Fax 0354-773469 Kode Pos 64151
BIODATA SISWA1. Nama
: ..............................................................................................................2. Kelas
: ..............................................................................................................3. Tempat/Tanggal Lahir : ..............................................................................................................4. Jenis Kelamin
: L / P5. Agama
: ..............................................................................................................6. Alamat Rumah
: ..............................................................................................................7. Anak Ke
: ..............................................................................................................8. Jumlah Saudara
: ..............................................................................................................9. No TLP/HP
: ..............................................................................................................10. Nama Ayah
: ..............................................................................................................11. Pekerjaan Ayah
: ..............................................................................................................12. Penghasilan Perbulan : ..............................................................................................................13. No TLP/HP Ayah
: ..............................................................................................................14. Nama Ibu
: ..............................................................................................................15. Pekerjaan Ibu
: ..............................................................................................................16. Penghasilan Perbulan : ..............................................................................................................17. No TLP/HP Ibu
: ..............................................................................................................
