FORMAT ISIAN DATA SISWA PENERIMA BOS TAHUN PELAJARAN 2010/2011 Nomor Induk Nasional JENIS KELAMIN

JENJANG KELAS

Urut

NAMA LENGKAP

TEMPAT LAHIR

TANGGAL LAHIR

NAMA ORANG TUA

ALAMAT

KET

........................, .....................2010 Kepala Madrasah

........................................... NIP. *dibuat dengan format excel ukuran legal *dikirim paling lambat 17 Juli 2010 ke KKM I MIN Cibeureum

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