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  • Format Data Pribadi Siswa

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    ANDRI SPDI
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    The document outlines a student data form containing sections for personal information and parents/guardian information. The personal information section requests details about the student like name, gender, address, birthdate, religion, phone number, email, birth order, number of siblings, transportation to school, hobbies and career goals. The parents/guardian section seeks name, occupation, address, birthplace, birthdate, religion and phone number for both parents and guardian. The form is to be filled out and signed by both the student and parent/guardian.

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    Original Title

    FORMAT DATA PRIBADI SISWA

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    The document outlines a student data form containing sections for personal information and parents/guardian information. The personal information section requests details about the student like name, gender, address, birthdate, religion, phone number, email, birth order, number of siblings, transportation to school, hobbies and career goals. The parents/guardian section seeks name, occupation, address, birthplace, birthdate, religion and phone number for both parents and guardian. The form is to be filled out and signed by both the student and parent/guardian.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as rtf, pdf, or txt
    7 views3 pages

    Format Data Pribadi Siswa

    Uploaded by

    ANDRI SPDI
    The document outlines a student data form containing sections for personal information and parents/guardian information. The personal information section requests details about the student like name, gender, address, birthdate, religion, phone number, email, birth order, number of siblings, transportation to school, hobbies and career goals. The parents/guardian section seeks name, occupation, address, birthplace, birthdate, religion and phone number for both parents and guardian. The form is to be filled out and signed by both the student and parent/guardian.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as rtf, pdf, or txt
    of 3

    FORMAT DATA PRIBADI SISWA

    A. KETERANGAN PRIBADI
    1. NISN : …………………………………….
    2. NIS : …………………………………….
    3. Nama lengkap : …………………………………….
    4. Jenis kelamin : …………………………………….
    5. Alamat : …………………………………….
    - Jalan : …………………………………….
    - Jorong : …………………………………….
    - Nagari : …………………………………….
    - Kecamatan : …………………………………….
    6. Tempat lahir : …………………………………….
    7. Tanggal lahir : …………………………………….
    8. Agama : …………………………………….
    9. No HP : …………………………………….
    10. Email : …………………………………….
    11. Anak ke : …………………………………….
    12. Jumlah saudara kandung : …………………………………….
    13. Jumlah saudara tiri : …………………………………….
    14. Tinggal bersama : …………………………………….
    15. Jarak dari rumah ke sekolah : …………………………………….
    16. Berangkat ke sekolah dgn : …………………………………….
    17. Hobby : …………………………………….
    18. Cita-cita : …………………………………….
    B. KETERANGAN ORANG TUA / WALI
    1. AYAH
    a. Nama : …………………………………………….
    b. Pekerjaan : …………………………………………….
    c. Alamat : …………………………………………….
    - Jalan : …………………………………………….
    - Jorong : …………………………………………….
    - Nagari : …………………………………………….
    - Kecamatan : …………………………………………….
    d. Tempat lahir : …………………………………………….
    e. Tanggal lahir : …………………………………………….
    f. Agama : …………………………………………….
    g. No HP : …………………………………………….
    2. IBU
    a. Nama : …………………………………………….
    b. Pekerjaan : …………………………………………….
    c. Alamat : …………………………………………….
    - Jalan : …………………………………………….
    - Jorong : …………………………………………….
    - Nagari : …………………………………………….
    - Kecamatan : …………………………………………….
    d. Tempat lahir : …………………………………………….
    e. Tanggal lahir : …………………………………………….
    f. Agama : …………………………………………….
    g. No HP : …………………………………………….
    3. WALI
    a. Nama : …………………………………………….
    b. Pekerjaan : …………………………………………….
    c. Alamat : …………………………………………….
    - Jalan : …………………………………………….
    - Jorong : …………………………………………….
    - Nagari : …………………………………………….
    - Kecamatan : …………………………………………….
    d. Tempat lahir : …………………………………………….
    e. Tanggal lahir : …………………………………………….
    f. Agama : …………………………………………….
    g. No HP : …………………………………………….
    Diketahui Yang menyatakan
    Orang Tua Peserta Didik

    ……………….. ……………………….

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