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Daftar Nama Siswa Madrasah Tsanawiyah - TP 2013/2014

Identitas Madrasah Tsanawiyah Tempat Belajar
NSM MTs

Nama Madrasah Tsanawiyah

Status

Page 1

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Identitas Madrasah Tsanawiyah Tempat Belajar
Alamat

Kecamatan

Page 2

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Informasi Pribadi Siswa
Kab./Kota

Provinsi

NIS Lokal

Page 3

NIS Nasional

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Informasi Pribadi Siswa
Nama Lengkap Siswa

Tempat Lahir

Page 4

Tanggal Lahir

Jenis
Kelamin

Kelas

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Informasi Kategori Kebutuhan Khusus yang diperlukan Siswa
Tuna Rungu

Tuna Netra

Tuna Daksa

Tuna Grahita

Page 5

Tuna Laras

Lamban
Belajar

Sulit Belajar

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wa

Informasi Orangtua Siswa

Gangguan
Komunikasi

Bakat
Luar Biasa

No. Kartu Keluarga

Ayah
Nama Lengkap

Page 6

Pendidikan Formal

Pekerjaan

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Informasi Orangtua Siswa
Ibu
Nama Lengkap

Pendidikan Formal

Pekerjaan

Page 7

Rata-Rata Penghasilan
Orangtua per Bulan

Siswa
Penerima BSM

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Informasi Bantuan Siswa Miskin (BSM)
Alasan Menerima BSM

Periode Menerima BSM

Nomor KPS

Page 8

Nomor Kartu BSM

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Miskin (BSM)
Nomor Kartu PKH

Diusulkan Menerima
BSM - TP 2013/2014

Alasan Pengusulan BSM

Page 9

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