Formulir Peserta Didik PKBM

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Program Indonesia Pintar</Data><NamedCell
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<Cell><Data ss:Type="String">-</Data><NamedCell ss:Name="Print_Area"/></Cell>
<Cell ss:MergeAcross="8" ss:StyleID="s89"><Data ss:Type="String">Penerima
KIP</Data><NamedCell
<Cell ss:MergeAcross="2" ss:StyleID="m315487248"><Data ss:Type="String">Tidak
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<Cell ss:StyleID="s78"><Data ss:Type="String">-</Data><NamedCell
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<Cell><Data ss:Type="String">r.</Data><NamedCell ss:Name="Print_Area"/></Cell>
<Cell ss:MergeAcross="8" ss:StyleID="s89"><Data ss:Type="String">Nama
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<Cell ss:MergeAcross="3" ss:StyleID="m215849684"><Data ss:Type="String">Tahun
</Row>
<Cell ss:Index="2" ss:StyleID="s88"><Data ss:Type="String"> -</Data><NamedCell
</Row>
<Cell ss:StyleID="s88"><Data ss:Type="String"> -</Data><NamedCell
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ss:Type="String">Pendidikan</Data><NamedCell
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</Row>
<Cell ss:MergeAcross="7" ss:StyleID="s89"><Data ss:Type="String">Penghasilan
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<Cell ss:MergeAcross="42" ss:StyleID="s99"><Data ss:Type="String">DATA IBU
KANDUNG (WAJIB DIISI)</Data><NamedCell
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<Cell><Data ss:Type="String">s.</Data><NamedCell ss:Name="Print_Area"/></Cell>
Ibu</Data><NamedCell
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</Row>
<Cell ss:Index="2" ss:StyleID="s88"><Data ss:Type="String"> -</Data><NamedCell
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</Row>
</Row>
</Row>
</Row>
<Cell ss:MergeAcross="7" ss:StyleID="s89"><Data ss:Type="String">Penghasilan
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<Cell ss:MergeAcross="42" ss:StyleID="s99"><Data ss:Type="String">DATA
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<Cell><Data ss:Type="String">t.</Data><NamedCell ss:Name="Print_Area"/></Cell>
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</Row>
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<Cell ss:MergeAcross="42" ss:StyleID="s99"><Data ss:Type="String">DATA PERIODIK
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<Cell><Data ss:Type="String">u.</Data><NamedCell ss:Name="Print_Area"/></Cell>
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ss:Type="String">cm</Data><NamedCell
<Cell ss:StyleID="s79"><Data ss:Type="String">v.</Data><NamedCell
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ss:Type="String">kg</Data><NamedCell
<Cell ss:MergeAcross="3" ss:StyleID="s107"><NamedCell
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</Row>
<Cell ss:StyleID="s78"><Data ss:Type="String">w.</Data><NamedCell
<Cell ss:MergeAcross="10" ss:StyleID="s89"><Data ss:Type="String">Jarak Tempat
Tinggal Kesekolah</Data><NamedCell
<Cell ss:MergeAcross="6" ss:StyleID="s139"><Data ss:Type="String">2) lebih dari
1km,sebutkan :</Data><NamedCell
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</Row>
<Cell ss:StyleID="s78"><Data ss:Type="String">x.</Data><NamedCell
<Cell ss:MergeAcross="10" ss:StyleID="s89"><Data ss:Type="String">Waktu Tempuh
Berangkat Kesekolah</Data><NamedCell
<Cell ss:MergeAcross="8" ss:StyleID="s139"><Data ss:Type="String">2) jika lebih
dari 60 menit,sebutkan :</Data><NamedCell
ss:Type="String">Menit</Data><NamedCell
</Row>
</Row>
<Cell ss:StyleID="s78"><Data ss:Type="String">y.</Data><NamedCell
<Cell ss:MergeAcross="10" ss:StyleID="s89"><Data ss:Type="String">Jumlah
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<Cell ss:StyleID="s141"><Data ss:Type="String">z.</Data><NamedCell
<Cell ss:MergeAcross="6" ss:StyleID="m320485908"><Data ss:Type="String">Jenis
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Prestasi</Data><NamedCell
ss:Type="String">Tahun</Data><NamedCell
ss:Type="String">Penyelenggaraan</Data><NamedCell
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<Cell ss:MergeAcross="6" ss:StyleID="m320485432"><Data ss:Type="String">
</Data><NamedCell
</Data><NamedCell
</Row>
</Data><NamedCell
</Data><NamedCell
</Row>
</Data><NamedCell
</Data><NamedCell
</Row>
</Data><NamedCell
</Data><NamedCell
</Row>
</Row>
<Cell ss:StyleID="s141"><Data ss:Type="String">aa</Data><NamedCell
ss:Type="String">Jenis</Data><NamedCell
ss:Type="String">Penyelenggara / Sumber</Data><NamedCell
Mulai</Data><NamedCell
Selesai</Data><NamedCell
</Row>
</Row>
</Row>
</Row>
<Row ss:Index="123" ss:AutoFitHeight="0">
ss:Type="String">Yang bertanda tangan Orang Tua/Wali atau Siswa</Data><NamedCell
ss:Type="String"> ………………………………., ………………………………………………………………</Data><NamedCell
<Cell ss:StyleID="s88"/>
</Row>
</Row>
ss:Type="String">bertanggung jawab secara hukum terhadap kebenaran data yang
tercantum.</Data><NamedCell
<Cell ss:Index="36" ss:StyleID="s155"><Data
ss:Type="String">Responden,</Data><NamedCell
</Row>
<Row ss:Index="129" ss:AutoFitHeight="0">
ss:Type="String">(…………………………………………………………………..)</Data><NamedCell
</Row>
<Cell ss:MergeAcross="8" ss:StyleID="s159"><Data ss:Type="String">Tanda Tangan
& Nama Terang</Data><NamedCell
</Row>
</Table>
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<Print>
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<Row ss:AutoFitHeight="0"/>
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<Unsynced/>
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</Worksheet>
<Row ss:AutoFitHeight="0"/>
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<PageSetup>
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<Unsynced/>
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Formulir Peserta Didik PKBM

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