Contoh Form MCL Team Beta hfgahjgfhhasfasff
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Transcript of Contoh Form MCL Team Beta hfgahjgfhhasfasff
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TGL DAFTAR NAMA SISWA JKL INDUK NISN NIK
1 2 3 4 5 6 71 26/06/2014 ADESTIA 2 1575 3602066308070001
2 26/06/2014 ALFIAH MAULIDA 1 1576 36020544010800043 26/06/2014 ANDINI HAMDAN 2 1577 3602054705070003
4 26/06/2014 ANDINI 2 1578
5 26/06/2014 ANGGA 1 1579 3602050809080003
6 26/06/2014 ANGGI 1 1580 3602050809080004
7 26/06/2014 APIPAH SAHIRA 2 1581 3602054405070003
8 26/06/2014 ARYANTO 1 1582 3602051104070001
9 26/06/2014 DIMAS SAPUTRA 1 1583 1801231305080001
10 26/06/2014 EDAH 2 1584
11 26/06/2014 EMAH 2 1585 360205410301000212 26/06/2014 EUIS NURHALIMAH SULAEMAN 2 1586
13 26/06/2014 FAJLI 1 1587 3602052512080002
14 26/06/2014 FIRMAN SUJANA 1 1588 3602052904080001
15 26/06/2014 HAFILLA APRIYANI 2 1589
16 26/06/2014 HELDA 2 1590 3602056105080001
17 26/06/2014 IKAL FAU!I 1 1591
18 26/06/2014 JAH"A A"ALIA 2 1592 3602056702080004
19 26/06/2014 LELA PUTRI 2 1593 3602055507080001
20 26/06/2014 MAHDI IRMA"AN 1 1594 3602050307070001
21 26/06/2014 MARYANTI 2 1595 3602056203080002
22 26/06/2014 MUHAMAD AN"AR GOJALI 1 1596 3602050302080001
23 26/06/2014 MUHAMAD ROJANI 1 1597 3602050405090002
24 26/06/2014 MUHAMAD UTANG 1 1598 3602052511070001
25 26/06/2014 MUHAMAD YUSUF A!I!I 1 1599 3602062011090003
26 26/06/2014 MUKLIS 1 1600
27 26/06/2014 NURAENI 2 1601
28 26/06/2014 NURHASANAH 2 1602 3602056507050003
29 26/06/2014 ODIH 1 1603
NO
DAFTAR
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30 26/06/2014 RIPAI 1 1604 3602062304080002
31 26/06/2014 RISMA"ATI 2 1605 3602055812080001
32 26/06/2014 ROHIM 1 1606
33 26/06/2014 ROMDONI 2 1607 3602052708070003
34 26/06/2014 SINTA MAHARANI 2 1608 3602055904080001
35 26/06/2014 SITI HALIMAH 2 1609 3602054102030003
36 26/06/2014 SITI MUTIA ILLAH 2 1610
37 26/06/2014 SITI NAILAH SARI 2 1611 3602055303080001
38 26/06/2014 SITI RAHAYU 2 1612 3602055808080001
39 26/06/2014 SITI ROHMIAH 2 1613 3602055306080001
40 26/06/2014 SUMARDI 1 1614 3602051205070002
41 26/06/2014 YUDIN FAU!I 1 1615 3602051103080002
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TEMPAT LAHIR TGL LAHIRAYAH NA
NAMA AYAH NAMA IBU8 9 10 11 12 13 14 15 16 17
LEAK 12/23/2007 1 1 A#EP 1982 11 03 2 NENGSIH
LEAK 04$01$2008 1 1 MUHIDIN 1980 11 03 2 DIDA
LEAK 07$05$2007 1 1 HAMDAN 1970 03 03 2 SARHAMAH
LEAK 1 1
LEAK 08$09$2008 1 1 MARTA 1960 11 03 2 RUMSAH
LEAK 08$09$2008 1 1 MARTA 1960 11 03 2 RUMSAH
LEAK 04$05$2007 1 1 SAMANUDIN 1982 03 03 2 ROSITA
LEAK 4/11/2007 1 1 DANA SUDANA %&' 1969 01 03 ARSAH
LEAK 5/13/2008 1 1 ROHMAT 1981 09 03 2 SANI
LEAK 24$012007 1 1 ROHMUDIN 1970 03 03 2 EMIN
LEAK 28$07$2007 1 1 EMAN SUHERMAN 1976 03 03 2 URIAH
LEAK 1 1
LEAK 25$12$2008 1 1 MUSADIKIN 1962 03 03 2 SA"IYAH
LEAK 29$04$2008 1 1 SUKI 1975 03 03 2 S%'()%*
LEAK 1 1
LEAK 21$05$2008 1 1 HASAN 1977 07 03 2 ARI
LEAK 1 1
LEAK 27$02$2008 1 1 JAI ISKANDAR 1985 09 03 2 ASIH
LEAK 15$07$2008 1 1 MAHRI 1955 03 03 1 NURI
LEAK 03$07$2007 1 1 DANTA 1980 03 03 2 MAMAH MARYANAHLEAK 22$03$2008 1 1 SADI 1970 11 03 2 ROIAH
LEAK 3/5/2008 1 1 SAEPUL 1977 03 03 2 SITI MAEMUNAH
LEAK 5/4/2007 1 1 SUMITRA 1945 11 03 2 MARIAH
LEAK 11/25/2007 1 1 UDING 1970 03 03 2 DARSIH
LEAK 11/20/2008 1 1 MUHAMAD KHOTI 1982 11 03 2 NANI
LEAK 1 1
LEAK 1 1
LEAK 7/16/2007 1 1 MAAD 1976 09 03 2 SITI ROHAYATI
LEAK 24$012007 1 1 ROHMUDIN 1970 03 03 2 EMIN
AGAMA
DITERIMADI KELAS
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LEAK 4/23/2008 1 1 JUMHADI 1967 03 03 2 MUMUN
LEAK 20$11$2009 1 1 ROSID 1973 11 03 2 RUMNAH
LEAK 9/3/2008 1 1
LEAK 27$08$2007 1 1 SARIAN A&' 1967 03 ITI HASANAH
LEAK 4/19/2008 1 1 MARKASAN 1965 11 03 2 UMDAHLEAK 01$02$2007 1 1 SUPRI 1971 11 3 2 NUR"ENDA
LEAK 1 1
LEAK 3/13/2008 1 1 AKIM 1983 11 03 2 AISYAH
LEAK 18$08$2008 1 1 ANDRI 1979 11 04 2 AMI
LEAK 13$06$2008 1 1 HUMAEDI 1974 03 03 2 NENG SANAH
LEAK 12$05$2007 1 1 SUARDI 1975 03 03 2 SUTIAH
LEAK 11$03$2008 1 1 AHRUM 1991 11 03 2 YUYUN
1
1
1
1
1
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1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
52/520
1
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1 1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
53/520
1
1
1
1
1 1
1
1
1
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1
1
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1
1
1
1
1
1
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1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
54/520
1
1
1
1
1 1
1
1
1
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1 1
1
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1
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1
1
1
1
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1
1
1
1
1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
55/520
1
1
1
1
1 1
1
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1 1
1
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1
1
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1
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1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
56/520
1
1
1
1
1 1
1
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1
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1
1
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1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
57/520
1
1
1
1
1 1
1
1
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1 1
1
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1
1
1
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1
1
1
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1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
58/520
1
1
1
1
1 1
1
1
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1 1
1
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1
1
1
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1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
59/520
1
1
1
1
1 1
1
1
1
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1
1
1
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1
1
1
1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
60/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
61/520
1
1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
62/520
1
1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
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1
1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
63/520
1
1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
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1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
64/520
1
1
1
1
1 1
1
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1
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1
1
1
1 1
1
1
1
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1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
65/520
1
1
1
1
1 1
1
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1
1
1 1
1
1
1
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1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
66/520
1
1
1
1
1 1
1
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1 1
1
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1
1
1
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1
1
1
1
1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
67/520
1
1
1
1
1 1
1
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1 1
1
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1
1
1
1
1
1
1
1
1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
68/520
1
1
1
1
1 1
1
1
1
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1 1
1
1
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1
1
1
1
1
1
1
1
1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
69/520
1
1
1
1
1 1
1
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1 1
1
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1
1
1
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1
1
1
1
1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
70/520
1
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1
1 1
1
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1
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1
1
1
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1
1
1
1
1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
71/520
1
1
1
1
1 1
1
1
1
1
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1 1
1
1
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1
1
1
1
1
1
1
1
1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
72/520
1
1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
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1
1
1 1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
73/520
1
1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
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1
1
1 1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
74/520
1
1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
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1
1 1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
75/520
1
1
1
1
1
1
1
1
1
1
1
1
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1 1
1
1
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1 1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
76/520
1
1
1
1
1
1
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1 1
1
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1 1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
77/520
1
1
1
1
1
1
1
1
1
1
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1 1
1
1
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1
1 1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
78/520
1
1
1
1
1
1
1
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1
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1 1
1
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1
1 1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
79/520
1
1
1
1
1
1
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1 1
1
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1 1
1
1
1
1
1
1
1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
80/520
1
1
1
1
1
1
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1 1
1
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1
1 1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
81/520
1
1
1
1
1
1
1
1
1
1
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1 1
1
1
1
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1
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1
1 1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
82/520
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
83/520
1
1
1
1
1
1
1
1
1
1
1
1
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1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
84/520
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
85/520
1
1
1
1
1
1
1
1
1
1
1
1
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1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
86/520
1
1
1
1
1
1
1
1
1
1
1
1
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1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
87/520
1
1
1
1
1
1
1
1
1
1
1
1
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1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
88/520
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
89/520
1
1
1
1
1
1
1
1
1
1
1
1
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1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
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7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
90/520
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
91/520
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
92/520
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
93/520
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
94/520
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
95/520
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
96/520
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
97/520
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
98/520
1
1
1
1
1
1
1
1
1
1
1
1
1
A IBU NAMA WALIALAMAT RT
TINGGA
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
99/520
NAMA WALI18 19 20 21 22 23 24 25 26 27 28 29
1989 03 1 K+, #)+-.%* G)% 1
1983 03 1 K+, %%% #)+-.%* 3
1975 03 1 K+, %%% #)+-.%* 03
1973 03 1 K+, %%% #)+-.%* 03
1973 03 1 K+, %%% #)+-.%* 03
1987 03 1 K+, #)+-.%* 02
1971 03 1 K+, #)+-.%* 01
1985 03 1
1971 03 1 K+, %%% #)+-.%* 04
1986 03 1 K+, %%% #)+-.%* 03
1966 03 1 K+, #)+-.%* 01
1982 03 1 K+, #)+-.%* 02
1985 03 1 K+, L-% S%%* 02
1992 03 1 K+, #)+-.%* 01
1965 03 1 K+, %%% #)+-.%* 03
1984 03 1 K+, #)+-.%* 01
1972 03 1 K+, L-% S%%* 01
1985 03 1 K+, L-% S%%* 2
1960 03 1 K+, #)+-.%* 1
1972 03 1 K+, #)% 4
1987 03 1 K+, #)+-.%* G)% 01
1979 03 1 K+, L-% S%%* 02
1971 03 1 K+, %%% #)+-.%* 04
GGLHR D
1978 03 1 K+, #)+-.%* G)% 01
1975 03 1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
100/520
1975 03 1
1975 03 03 1 1 K+, #)+-.%* 01
1980 03 1 K+, #)% 04
1978 03 1 K+, L-% S%%* 01
1986 03 1 K+, %%% #)+-.%* 04
1987 03 1 K+, #)% 04
1986 03 1 K+, #)+-.%* 02
1978 03 1 K+, #)% 04
1989 03 1 K+, %%% #)+-.%* 03
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
101/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
102/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
103/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
104/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
105/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
106/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
107/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
108/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
109/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
110/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
111/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
112/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
113/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
114/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
115/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
116/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
117/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
118/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
119/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
120/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
121/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
122/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
123/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
124/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
125/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
126/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
127/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
128/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
129/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
130/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
131/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
132/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
133/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
134/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
135/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
136/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
137/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
138/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
139/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
140/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
141/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
142/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
143/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
144/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
145/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
146/520
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
147/520
RW NAMA DESA KEC ID NO TELP NO HP
30 31 32 33 34 35 36 37 38 39 40
6 #)()'-. 3653 264 42362 122 16 1
2 T%.%) 3653 264 42364 120 19 1
KOTAID
KODEPOS
TINGGIBADAN
BERATBADAN
NKHUS
JARAK
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
148/520
2 T%.%) 3653 264 42364 120 19 1
02 T%.%) M.% L-% 42364 118 15 1
3653 264
02 T%.%) 3653 264 42364 121 16 1
02 T%.%) 3653 264 42364 120 15 1
02 T%.%) M.% L-% 42364 112 14 1
02 T%.%) 3653 264 42364 123 20 1
3653 264
02 T%.%) M.% L-% 42364 122 20 1
02 T%.%) M.% L-% 42364 114 15 1
3653 264
02 T%.%) M.% L-% 42364 1
02 T%.%) M.% L-% 42364 118 15 1
3653 264
03 T%.%) M.% L-% 42364 1
3653 264
02 T%.%) M.% L-% 42364
02 T%.%) M.% L-% 42364 114 14 1
02 T%.%) M.% L-% 42364 118 15 1
03 T%.%) M.% L-% 42364 13 T%.%) 3653 264 42364 1
2 T%.%) 3653 264 42364 118 16 1
2 T%.%) 3653 264 42364 125 20 1
06 #)()'-. L-.):%'% L-% 42362 120 20 2
3653 264
3653 264
03 T%.%) M.% L-% 42364 1
02 T%.%) M.% L-% 42364 122 20 1
06 #)()'-. L-.):%'% L-% 42362 2
3653 264
3653 264
02 T%.%) M.% L-% 42364 118 16 1
02 T ) M L 42364 120 18 1
-
7/23/2019 Contoh Form MCL Team Beta hfgahjgfhhasfasff
149/520
02 T%.%) M.% L-% 42364 120 18 1
03 T%.%) M.% L-% 42364 23653 264
02 T%.%) M.% L-% 42364 122 19 1
02 T%.%) 3653 264 42364 117 16 1
02 T%.%) M.% L-% 42364 117 15
02 T%.%) M.% L-% 42364 122 14 1
02 T%.%) 3653 264 42364 120 20 1
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>1 KM TRANS EMAILASAL SEKOL
JENIS NO IZAJAH NAMA SEK NSS NPSN41 42 43 44 45 46 47 48 49
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1 6
1 1
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1 6
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1 5 3fhd5442362009
1 6 3fhd7042362001
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1 $
1 6 3fhd5s42362002
1 $
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HKETERANGAN
ALAMAT KEC KAB PROPINSI50 51 52 53 54 55
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PEMERINTAH KABUPETEN LEBAKUPTD PENDIDIKAN DAN KEBUDAYAAN KECAMATAN MUNCAN
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2. IDENTITAS PESERTA DIDIK
a" Naa $'(ka! . : I M A N U A N A
" $'#s K$+a#' . L ) Laki-laki P ) Perempuan
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*" NIN . N I'd%k #s)a 1 5 8 8
d" NIK . 3 6 0 2 0 5 2 9 0 4 0 8 0 0 0 1
$" T$!a,; Ta'((a+ +ah#- . E B A K ; 2 9 / 0 4 / 2 0 0 8
f" A(aa . 0 1 slam 02) Kristen Protestan 03) Katolik 04) Hindu 05) Budha 06) Khon Hu !u "") Lain-lain
(" $+ . T#'(ka, . 1
h" Id$',#,as Daf,a- !#+#ha' saa !$k$-jaa' a&ah
P$'d#d#ka' 01 idak sekolah 02 Putus ' 03 ' 'edera$at 04 'P 'edera$at 05 ' 'edera$at 06 1 0 2 0/ 3 0" 4
P h #+ +
PEMEINTA KABUPETEN EBAK
UPTD PENDIDIKAN DAN KEBUDAYAAN KECAMATAN MUNCAN
SD NEGERI 2 TANJUNGWANGIK!" C#!$%&ah D$sa" Ta'j%'()a'(# K$*" M%'*a'(
FORMULIR PESERTA DIDIK BARU
Ta'((a+ Daf,a- . 2 6 / 0 6 / 2 0 1 4 F-PSB
1. IDENTITAS SEKOLAH
a" Naa $k+ah . D N E E I 2 T A N U N A N I
" N . 1 0 1 0 2 0 3 0 7 0 0 9 NPN . 2 0 6 0 1 7 4 3
*" A+aa, $k+ah . K P " C I P E U Y A
d" K$*aa,a' . T A N U N A N I
$" Ka%!a,$'/K,a . E B A K
f" P-#'s# . B A N T E N
2. IDENTITAS PESERTA DIDIK
a" Naa $'(ka! . A D E T I A
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" $'#s K$+a#' . P L ) Laki-laki P ) Perempuan
*" NIN . N I'd%k #s)a 1 5 7 5
d" NIK . 3 6 0 2 0 6 6 3 0 8 0 7 0 0 0 1
$" T$!a,; Ta'((a+ +ah#- . E B A K ; 2 3 / 1 2 / 2 0 0 7
f" A(aa . 0 1 slam 02) Kristen Protestan 03) Katolik 04) Hindu 05) Budha 06) Khon Hu !u "") Lain-lain
(" $+ . T#'(ka, . 1
h" #)a&a, B$as#s)a
$'#s P$'&$+$'((-a / %$- Tah%' M%+a# ah%' $+$sa#
1
2
3
enis Beasis 01) nak #erprestasi 02) nak miskin 03) Pendidikan 04) 7nulan "") Lain-lain#" Ca,a,a' P-$s,as#
Tah%' a %a-a k$ inkat 1) 'ekolah 2) Ke.amata enis 8 1) 'ain 2) 'e
1 3 Ka upaten 4 Pro9 ns 3 * a raa
2 5) %asional 4) Lain-lain
3 6 Internas ona
j" Id$',#,as
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N%'% S-&%* < SD NEGERI 2 TANJUNG"ANGI
S%.( S-&%* < NEGERI
NPSN < 20601743A&%'% < K+, #)+-.%*
D-(% < T%.%)
K-%'%% < M.%
K%.+%- < L-%
PENERIMAAN PESERTA DIDIK BARU
T%*. P-&%%% 2014$2015
N'N%'% #%& S)(%
J-)(T-'+% &%*) T%%& L%*)
U()%N%'% A%* A&%'% A(%& S)(%
U. D%;% L P T%*. .&%
1 ADESTIA P LEAK 23/12/2007Y 6 6 A#EP
2 ALFIAH MAULIDA L LEAK 04/01/2008Y 6 6 MUHIDIN
3 ANDINI HAMDAN P LEAK 07/05/2007Y 7 2 HAMDAN
4 ANDINI P LEAK
5 ANGGA L LEAK 08/09/2008Y 5 10 MARTA
6 ANGGI L LEAK 08/09/2008Y 5 10 MARTA
K+, #)+-.%* G)%RT
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7 APIPAH SAHIRA P LEAK 04/05/2007Y 7 2 SAMANUDIN
8 ARYANTO L LEAK 11/04/2007Y 7 3
9 DIMAS SAPUTRA L LEAK 13/05/2008Y 6 2 ROHMAT
10 EDAH P LEAK 24$012007 ROHMUDIN
11 EMAH P LEAK 28/07/2007Y 6 11
12 EUIS NURHALIMAH SULAEMAN P LEAK
13 FAJLI L LEAK 25/12/2008Y 5 6 MUSADIKIN
14 FIRMAN SUJANA L LEAK 29/04/2008Y 6 2 SUKI
15 HAFILLA APRIYANI P LEAK
16 HELDA P LEAK 21/05/2008Y 6 1 HASAN
17 IKAL FAU!I L LEAK
18 JAH"A A"ALIA P LEAK 27/02/2008Y 6 4 JAI ISKANDAR
,D-(%/K-&< T%.%) K-
