Formulir Biodata Siswa

 

YAYASAN TERPADU CEMERLANG (YAPIDAC)

SEKOLAH MENENGAH KEJURUAN (SMK) WIRA UTAMA idang ,ea"&ian Te+ni+ ,)m%u-e* = Ja*ingan

 Jl. Kebonkai No. 18 Telp. Telp. (0266)480033 (0266)480033 Nyalindung Sukabumi 43196  Emai& :  : smkw!"#$"m"%&m"'.m 7esi-e : "--%://www.sm+wi*au-ama.s8".id

KELAS. ……………………… HARAP DIISI DENGAN HURUF CETAK

NIS : . ………………….……...

FORMU LIR DATA FORMULIR DATA SISWA TAHUN PELAJARAN : 2014/2015 A. KETE KETERAN RANGAN GAN PRIBADI PRIBADI PESERT PESERTA AD DIDI IDIK K

1. Nama Siswa (sesuai dengan ia!a"#

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2. Nama %anggi&an

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'. NSN (N)m)* ndu+ Nasi)na&#

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4. Jenis ,e&amin

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5. Tem%a- &a"i* 

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. Tangga& &a"i* 

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. Agama

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. ,ewa*ganega*aan

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. Ana+ Ana+ +e ee* e*a% a%aa

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10. Jum&a" Jum&a" sauda*a sauda*a +andung +andung

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11. 11. Jum&a" Jum&a" sauda* sauda*aa -i*i

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12. Jum&a" Jum&a" sauda*a sauda*a ang+aang+a12. Ana+ 3a-im/% 3a-im/%ia-u/3 ia-u/3a-im a-im %ia-u %ia-u

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1'. a"asa a"asa se"a*i"a* se"a*i"a*ii di *uma" *uma"

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1. KETERA KETERANGA NGAN N TEMP TEMPA AT TING TINGGAL GAL

1. A&ama- Pese*-a 6idi+ &eng+a%

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2. N)m) N)m)** -e&e% -e&e%)n )n *uma *uma"/ "/-e -em% m%aa- -i -ing ngga ga&&

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'. Tingga&

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a.

Pada )*ang -ua/wa&i

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6i as*ama $$$$$$$$$$$$$$$.

4. Ja*a Ja*a+ + da*i da*i -e -em m%a%a- --in ingg gga& a& +e se se+) +)&a &a" "

: 9a/Tida+ # Pada

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5. ,e se+)&a" se+)&a" dengan dengan +enda*aan/ +enda*aan/a&an a&an +a+i : $$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$.. $$$.. B. KETERA KETERANGA NGAN N KESEHA KESEHAT TAN

1. &a" Raga ,emas3 ,emas3a*a+ a*a+a-a a-an/> n/>*g *ganis anisasi asi Has-a ,a*3a a+a-/ a+a-/;in ;inaa- Se-e&a" Se-e&a" Lu&us Lu&us ?i-a8i-a E+sE+s-*a *a+u +u&i &i+u +u&e &e** 3ang ang %e*n %e*na" a" di dii+ i+uu-ii

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Su+aumi @$$$$ $$$. ;enge-a"ui >*ang Tua/7a&i ;u*id

Siswa

     

    

 Ke ! " #o$e #o$e yang id idak ak pe$lu %)   " &aa Si'a diaa' a*ib a*ib dii'i unuk kepeningan &aa Sekola+

 

DATA SISWA

BERKAS BIODATA SISWA SMK WIRA UTAMA  TAHUN  T AHUN PELAJAR PELAJARAN AN 2014/20 2014/2015 15

 Nama 7a&i 7a&i ,e&as

:

,e&as

:

 N). T&%. / HP

:

Sukabumi, ……………………………. …………………………….

Wali Kelas