Formulir Peserta Didik Afrillia - AL - PIKRI 2021-05-25 07-13-20

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<Cell ss:MergeAcross="2" ss:StyleID="s74"><Data ss:Type="String">Kode
Pos</Data></Cell>
ss:Type="String">17356</Data></Cell>
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ss:Type="String">Kecamatan</Data></Cell>
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<Cell ss:MergeAcross="8" ss:StyleID="s89"><Data ss:Type="String">Kabupaten /
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ss:Type="String">Propinsi</Data></Cell>
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<Cell ss:MergeAcross="8" ss:StyleID="s78"><Data ss:Type="String">Alat
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<Cell><Data ss:Type="String">m.</Data></Cell>
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Hp</Data></Cell>
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<Cell ss:MergeAcross="42" ss:StyleID="s195"><Data ss:Type="String">DATA IBU
KANDUNG (WAJIB DIISI)</Data></Cell>
</Row>
<Cell><Data ss:Type="String">s.</Data></Cell>
Ibu</Data></Cell>
</Row>
</Row>
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</Row>
</Row>
</Row>
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<Cell ss:MergeAcross="42" ss:StyleID="s195"><Data ss:Type="String">DATA
WALI</Data></Cell>
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<Cell><Data ss:Type="String">t.</Data></Cell>
Wali</Data></Cell>
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</Row>
</Row>
<Cell ss:MergeAcross="13" ss:StyleID="m2295791149356"><Data ss:Type="String">-
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</Row>
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ss:Type="String">Tahun</Data></Cell>
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</Data></Cell>
</Row>
</Data></Cell>
</Data></Cell>
</Row>
</Data></Cell>
</Data></Cell>
</Row>
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</Data></Cell>
</Row>
</Row>
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ss:Type="String">Tahun Selesai</Data></Cell>
</Row>
</Row>
</Row>
</Row>
<Row ss:Index="129" ss:AutoFitHeight="0">
ss:Type="String">Yang bertanda tangan Orang Tua/Wali atau Siswa</Data></Cell>
ss:Type="String"> ………………………………., ………………………………………………………………</Data></Cell>
</Row>
</Row>
<Row ss:AutoFitHeight="0">
ss:Type="String">bertanggung jawab secara hukum terhadap kebenaran data yang
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<Cell ss:Index="36" ss:StyleID="s153"><Data
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<Row ss:Index="135" ss:AutoFitHeight="0">
ss:Type="String">(…………………………………………………………………..)</Data></Cell>
</Row>
<Row ss:AutoFitHeight="0">
<Cell ss:MergeAcross="8" ss:StyleID="s157"><Data ss:Type="String">Tanda Tangan
& Nama Terang</Data></Cell>
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