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No. Induk Santri : _____________________
A. KETERANGAN SANTRI
1. Nama Santri Lengkap : ......................................
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Bkuku induk

BUKU INDUK

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Bkuku induk

  1. 1. No. Induk Santri : _____________________ A. KETERANGAN SANTRI 1. Nama Santri Lengkap : ..................................................................................... 2. Nama Panggilan : ..................................................................................... 3. Tempat/Tgl Lahir : ..................................................................................... 4. Jenis Kelamin : L/P 5. Jumlah Saudara : ....................anak ke ................................................... 6. Alamat : ..................................................................................... B. KETERANGAN ORANG TUA 1. Nama Orang Tua a. Ayah : ..................................................................................... b. Ibu : ..................................................................................... 2. Pendidikan a. Ayah : ..................................................................................... b. Ibu : ..................................................................................... 3. Pekerjaan a. Ayah : ..................................................................................... b. Ibu : ..................................................................................... 4. Alamat Orang Tua : ..................................................................................... No. Telpon : ................................... Hp............................................ C. KETERANGAN WALI 1. Nama Wali : ..................................................................................... 2. Alamat Wali : ..................................................................................... No. Telpon : ................................... Hp............................................ 3. Hub. Dengan Anak : a. Kakek b. Nenek c. Paman d. Lainnya. Sebutkan .................................................. D. PERKEMBANGAN SANTRI 1. Khotam Al-Qur’an/Tidak Khotam: a. Tanggal : ..................................................................................... b. Syahadah No. : ..................................................................................... 2. Melanjutkan ke a. Madin : ..................................................................................... b. Ponpes : ..................................................................................... c. Lainnya : .....................................................................................

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