FORMULIR PENDAFTARAN PPDB SMK PATI UNUS KARANGAWEN

FORMULIR PENDAFTARAN PPPD 2019-2020

1. Nama

Tulislah nama lengkap anda

2. Asal Sekolah

3. No Tlp / HP

4. Alamat

5. Tanggal Lahir

10/25/1982

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6. Umur

7. Nama Orang Tua Ayah / Ibu

8. No Tlp / HP

9. Alamat Orangtua

10. Jurusan Pilihan Anda

Multimedia

Akuntansi

Administrasi Perkantoran

11. Urutan Jurusan Pilihan

Multimedia

Administrasi Perkantoran

Akuntansi

12. Extra kurikuler yang diminati

Rohani Islam

Pramuka

Resimen / Polisi Sekolah

Band

Pencak Silat

Olah Raga

Pecinta Alam

PMR

13. Hobi

Membaca

Menggambar

Berhitung