Data Siswa Induk

7/24/2019 Data Siswa Induk

1/684

DATA BASE SISWA SALAFIYAH

Keboncandi Gondangwetan Pasuruan1!

"o Indu#

A. K

"a$a Leng#a% Santri "a$a Panggi&an Te$%at

'!(

1 2 3 4

(()(* HA"IYA AL+KAFF + ,E-BE.

(()(/ SAYID H0SEI" AL+KAFF + ,E-BE.

(()(! HAIKAL + PAS0.0A"

(()( SI"TA FA02IYAH + PAS0.0A"

(()(' -3 SH4FIY0LL4H + PAS0.0A"

(()() -3 SIGIT P0."4-4 + PAS0.0A"

(()1( P0T.I SH4LI5HAH + PAS0.0A"

(()11 T.I 5AHYATI + PAS0.0A"

(()1 FATI-AT02 2AH.4H + PAS0.0A"

(()16 -A.IA 0LFA + PAS0.0A"

(()1* 5HILYAT0L -A0LIDIAH + PAS0.0A"

(()1/ "0.4"IA + PAS0.0A"

(()1! .IYAD0L ,A""AH + PAS0.0A"(()1 -A0LIDAT0L 5HASA"AH + PAS0.0A"

(()1' 0-I 5HABIBAH + PAS0.0A"

(()1) ABD ALI- + PAS0.0A"

(()( LAILAT0L FIT.IYAH + PAS0.0A"

(()1 -3 I-A- TA,0DDI" + PAS0.0A"

(() -3 5H4I.0S SYADDAD + PAS0.0A"

(('! T0TIK FATI-AH + PAS0.0A"

(('' "0.0L AI"I + PAS0.0A"

((''6 "0.0L A-ELIA + PAS0.0A"

((''* "AILIAT0L FA02IYAH + PAS0.0A"((''/ "0.0L FA.IDAH + PAS0.0A"

(('' SITI AISYAT0L 5H0-AI.4H + PAS0.0A"

((''' LAILIYAT0S SAKI"AH + PAS0.0A"

(('') SH4FI DIA"A + PAS0.0A"

((')( "IK-AT0L ISTI74-AH + PAS0.0A"

((')1 -3 SYAH.0L IBAD + PAS0.0A"

((') E.-AWATI + PAS0.0A"


2/684

((')6 SHELAT0L KH4I.IYAH + PAS0.0A"

((')* SIL8I -A0LIDIYAH + PAS0.0A"

((')/ SITI AISYAH KH0-AI.4H + PAS0.0A"

(('! DI"A KA-ELIA + PAS0.0A"

(('!6 FIFI LESTA.I + PAS0.0A"

(('!* "ABILA AK-ALIAH + PAS0.0A"

(('!/ LAILAT0L IS"AI"I + PAS0.0A"(('!! P0T.I KA.IS-AT0" "ISAK + PAS0.0A"

(('' "4. 5HIK-AH + PAS0.0A"

((') -ASLI5HAH + PAS0.0A"

((''( LITA DI"I LAILA + PAS0.0A"

((''1 SITI -AS.0.4H + PAS0.0A"

((''! LAILAT0L -AGHFI.4H + PAS0.0A"

((')! -AISA.4H + S0.ABAYA

(()6 FIT.I S0LISTIA"I + PAS0.0A"

(('(6 A"I"G "AFSIAH + PAS0.0A"

(('(* AY0 L0B"A + PAS0.0A"(('1' ITA -IFTAH0L ,A""AH + PAS0.0A"

(('1) "0.0L FAI2AH + PAS0.0A"

(('( FI"A "0. .AH-ADA"I + PAS0.0A"

(('1 .A"I .AH-AWATI + PAS0.0A"

((' "0.0L YATI-AH + PAS0.0A"

(('6 -A0LIDAT0L -AS90DAH + PAS0.0A"

(('6 .45H-AT0L -A0LIDIAH + PAS0.0A"

(('6) .IS-A .4SYIDAH + PAS0.0A"

(('*( 2AKIYYAT0S SA.-ILA + PAS0.0A"

(('** HA"0- -0YASYA.4H + PAS0.0A"

(('*) -A0L0DIAH + PAS0.0A"

(('/ DEWI A.WA5H0L -0TI--AH + PAS0.0A"

(('/' SITI 74-A.IAT0L BAD.IYAH + PAS0.0A"

(('!( IKLI-AT0L HASA"AH + PAS0.0A"

(('* .4BI9AH ADAWIYAH + P.4B4LI"GG4

((') 0SAILAT0" "I9-AH + PAS0.0A"

((')' SEPTIA" "0. AI"I BA..4 + PAS0.0A"

((')) IL-IYAT0L A.4FAH + PAS0.0A"

(('(1 ADIBAH AK-ALIYAH + PAS0.0A"

(('( AY0 LESTA.I + PAS0.0A"

(('(! -AS.I"A + PAS0.0A"

(('( -AYA FA0"A + PAS0.0A"

(('(' -0KA..4-AH + PAS0.0A"

(('() "4. FAI2AH + PAS0.0A"

(('1( .ISA -A0LIDAH + PAS0.0A"

(('11 SITI 5HA"IFA + PAS0.0A"

(('16 "4. AI"I + PAS0.0A"

(('1* SITI FATI-AH + PAS0.0A"


3/684

(('1! P0T.I -AI.A SAL-A + PAS0.0A"

(('1 AL-I.A AY0BI + PAS0.0A"

(('6( K0"TI SAKI"AH + PAS0.0A"

(('*/ IL-IYAT0L -0FIDAH + PAS0.0A"

(('/1 S4LIHATI + PAS0.0A"

(('/ DALLA A2KIYAT0L FIK.IYAH + PAS0.0A"

(('!1 AFIA + PAS0.0A"(('1 -A.5H0-AH + PAS0.0A"

((' SITI AISYAH + PAS0.0A"

(('6 SIL8I LAILAT0L -AGHFI.4H + PAS0.0A"

(()(( 5HIK-AT0L -A0LA + PAS0.0A"

(()(1 FI.DA0SI "020LA + PAS0.0A"

(()( HI"D0" A"ISAH + PAS0.0A"

(()(6 ILYAT0L I.FA"I + PAS0.0A"

((6* LILIK FA.IDAH + PAS0.0A"

((/6 Y0"I BA9DI74H + PAS0.0A"

((/! .I27IYAWATI + PAS0.0A"((/ 5HALI-AT0S SA9DIYAH + PAS0.0A"

((/' WA.DAT0L KH4I.IYAH + PAS0.0A"

((!( FATI-AH 2AH.4 + PAS0.0A"

((!1 "0.0L HIK-AH + PAS0.0A"

((!6 SITI KH4DI,AH + PAS0.0A"

(()( "4. A2I2AH + PAS0.0A"

(() FATI-AH 2AH.4 + S0.ABAYA

(('(/ A-ILAT0L -0K-ILAH + PAS0.0A"

(('*1 FATI-AH "A7IBAH ALKAFF + PAS0.0A"

(('*' SITI HI"D0" + PAS0.0A"

(('/6 .I.IS 5HAYAT0" "0F0S + PAS0.0A"

(('/* SITI "AFI9AH + PAS0.0A"

(('/! SITI 5H4TI-AH + PAS0.0A"

(('/) DEWI -AYSA.4H + PAS0.0A"

(('/ "I9-AT0S SA9DIYAH + PAS0.0A"

((' "48I -AYASA.I + PAS0.0A"

((6( A-I"AT02 20H.IYAH + PAS0.0A"

((66 I22AT0L LAILA + PAS0.0A"

((6/ -AS.0.4H + PAS0.0A"

((6! -IFTAH0L ,A""AH + PAS0.0A"

((6 .4BI9AH ADAWIYAH + PAS0.0A"

((6' SH48IAT0" "A2ILAH + PAS0.0A"

((*/ SELLAH .I27IYAH + PAS0.0A"

((!/ EKA DWI FIT.IYAH + PAS0.0A"

(( SITI KH4DI,AH + PAS0.0A"

((' SITI A-I"AH + PAS0.0A"

(() SITI ASIYAH + PAS0.0A"

(('( SITI -0T4--I-AH + PAS0.0A"


4/684

(('* IKE "4. DIA"A P0T.I + PAS0.0A"

(('/ KH0S"IYAH DEWI + PAS0.0A"

(() "I9-AT0L 74-A.IYAH + PAS0.0A"

(()6 FA02IYAH + PAS0.0A"

(('/ YAY0K .A5H-AWATI + PAS0.0A"

((') FIFI I"D.IAWATI + PAS0.0A"

(('* 5H4I.0" "I9-AH + PAS0.0A"+ +

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ETERANGAN DIRI SISWA

Tg& La:ir Kebangsaan Aga$a

A&a$at Leng

A&a$at

5 6 7 8 9

(6 A%ri& ((! W"I Is&a$ Pere$%ua ,E-BE.

(* "o;e$ber ((* W"I Is&a$ Pere$%ua ,E-BE.

( A%ri& (( W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

6( A%ri& ((/ W"I Is&a$ Pere$%ua KEB4" SAW4

( -aret ((! W"I Is&a$ Pere$%ua TE"GGILIS .E,4 G4"D

1( "o;e$ber ((* W"I Is&a$ Pere$%ua KEB4"5A"DI

1 -ei (( W"I Is&a$ Pere$%ua KEB4"5A"DI

( A%ri& (( W"I Is&a$ Pere$%ua KEB4"5A"DI

11 -aret (( W"I Is&a$ Pere$%ua KEB4"5A"DI

1 ,u&i ((! W"I Is&a$ Pere$%ua KEB4"5A"DI

1) A%ri& ((! W"I Is&a$ Pere$%ua KEB4"5A"DI

6( A%ri& ((* W"I Is&a$ Pere$%ua KEB4"5A"DI

() ,u&i ((/ W"I Is&a$ Pere$%ua KEB4" SAW41! A%ri& ((/ W"I Is&a$ Pere$%ua KEB4" SAW4

! -ei ((/ W"I Is&a$ Pere$%ua KEB4" SAW4

1' ,anuari ((/ W"I Is&a$ Pere$%ua KEB4" SAW4

1) Februari ((/ W"I Is&a$ Pere$%ua KEB4"5A"DI

( Dese$ber ((6 W"I Is&a$ Pere$%ua KEB4"5A"DI

1( ,uni ((! W"I Is&a$ Pere$%ua KEB4"5A"DI

11 ,u&i ((/ W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

' -ei ((6 W"I Is&a$ Pere$%ua KEB4" 5A"DI

11 A%ri& ((* W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

-aret ((* W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI(1 ,anuari ((* W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

(1 4#tober ((* W"I Is&a$ Pere$%ua TE"GGILIS .E,4 G4"D

1' 4#tober (( W"I Is&a$ Pere$%ua KEB4" 5A"DI

Agustus (( W"I Is&a$ Pere$%ua KEB4" SAW4

1* Agustus ((* W"I Is&a$ Pere$%ua KEB4" 5A"DI

"o;e$ber ((1 W"I Is&a$ Pere$%ua KEB4" SAW4

1 4#tober ((* W"I Is&a$ Pere$%ua KEB4" SAW4

,enisKe&a$in


25/684

( ,uni ((6 W"I Is&a$ Pere$%ua KEB4" SAW4

1' -ei ((* W"I Is&a$ Pere$%ua KEB4"5A"DI

(1 4#tober ((* W"I Is&a$ Pere$%ua TE"GGILIS .E,4 G4"D

(/ 4#tober ((* W"I Is&a$ Pere$%ua KEB4" SAW4

1( -ei ((6 W"I Is&a$ Pere$%ua KEB4" SAW4

11 ,u&i ((* W"I Is&a$ Pere$%ua KEB4" SAW4

6 Dese$ber ((( W"I Is&a$ Pere$%ua ,A",A"G W0L0"G P0S1 "o;e$ber ((1 W"I Is&a$ Pere$%ua KEB4"5A"DI

1 Dese$ber ((6 W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

(* -ei ((6 W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

Se%te$ber ((6 W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

/ 4#tober ((1 W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

(* "o;e$ber ((6 W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

( "o;e$ber ((1 W"I Is&a$ Pere$%ua S0.ABAYA

16 4#tober ((1 W"I Is&a$ Pere$%ua SEKA. GAD0"G

-ei (( W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

( ,u&i 1))) W"I Is&a$ Pere$%ua PLALA"GA" WI"4"GA) 4#tober ((1 W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

1( Februari (( W"I Is&a$ Pere$%ua KEB4"SAW4 KEB4"5A

(! Dese$ber ((1 W"I Is&a$ Pere$%ua KEB4"SAW4 KEB4"5A

(* ,uni ((6 W"I Is&a$ Pere$%ua TE"GGILIS .E,4 G4"D

11 -aret ((6 W"I Is&a$ Pere$%ua KEB4"SAW4 KEB4"5A

6 A%ri& ((* W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

(' ,uni ((* W"I Is&a$ Pere$%ua -ASA"GA" TE"GGILIS

6 -aret ((* W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

(1 Se%te$ber ((( W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

-aret ((1 W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

1 ,anuari ((( W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

' Agustus ((( W"I Is&a$ Pere$%ua KEB4"SAW4 KEB4"5A

( Se%te$ber 1))' W"I Is&a$ Pere$%ua KALIP05A"G P0SP4

(/ ,uni ((( W"I Is&a$ Pere$%ua KALIP05A"G P0SP4

( ,u&i ((( W"I Is&a$ Pere$%ua S0-E"DI P4LAI P.4B4

A%ri& ((1 W"I Is&a$ Pere$%ua GA-BI. K0"I"G KE,AY

(! Se%te$ber ((1 W"I Is&a$ Pere$%ua KEB4"5A"DI

(6 Februari ((( W"I Is&a$ Pere$%ua ,A",A"G W0L0"G P0S

(/ A%ri& ((6 W"I Is&a$ Pere$%ua P.4B4LI"GG4

(! Dese$ber (( W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

6 Dese$ber (( W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

(6 -aret (( W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

6 Dese$ber ((1 W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

1/ Dese$ber 1))) W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

(6 ,uni ((1 W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

(' Dese$ber ((1 W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

(6 ,uni ((1 W"I Is&a$ Pere$%ua BA"GILA" KEB4"5A"D

() ,u&i ((( W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"


26/684

(' -ei ((1 W"I Is&a$ Pere$%ua KEB4"SAW4 KEB4"5A

6 -ei ((6 W"I Is&a$ Pere$%ua TE"GGILIS .E,4 G4"D

() Se%te$ber ((6 W"I Is&a$ Pere$%ua KEB4"SAW4 KEB4"5A

(* -aret ((1 W"I Is&a$ Pere$%ua KA.A"G KLIW4"

() "o;e$ber 1)) W"I Is&a$ Pere$%ua -A"DI"G LEK4K

(* Se%te$ber ((( W"I Is&a$ Pere$%ua GA-BI. K0"I"G KE,AY

) "o;e$ber 1))' W"I Is&a$ Pere$%ua KALIP05A"G P0SP4 ,anuari 1))) W"I Is&a$ Pere$%ua ,A",A"G W0L0"G P0S

(' "o;e$ber 1))) W"I Is&a$ Pere$%ua ,A",A"G W0L0"G P0S

(1 "o;e$ber 1)) W"I Is&a$ Pere$%ua ,A",A"G W0L0"G P0S

( "o;e$ber ((( W"I Is&a$ Pere$%ua SAA. G4"DA"GWETA

1 Se%te$ber ((1 W"I Is&a$ Pere$%ua -A"TI"GA" TE"GGILIS

1! Dese$ber (( W"I Is&a$ Pere$%ua "DA.A

1) Se%te$ber ((1 W"I Is&a$ Pere$%ua -A"TI"GA" TE"GGILIS

1( ,u&i ((( W"I Is&a$ Pere$%ua KEB4"SAW4 KEB4"5A

(/ 4#tober ((( W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

) -ei ((( W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"1) A%ri& ((1 W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

Februari ((( W"I Is&a$ Pere$%ua KEB4"SAW4 KEB4"5A

1* ,u&i ((( W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

Agustus (( W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

16 ,anuari ((( W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

(' Agustus 1))) W"I Is&a$ Pere$%ua LE"GK4"G LAWAS PAS

1! ,u&i 1))) W"I Is&a$ Pere$%ua SID4.ES-4 DALA- S0

(! ,uni ((1 W"I Is&a$ Pere$%ua TE"GGILIS .E,4 G4"D

(1 A%ri& ((1 W"I Is&a$ Pere$%ua B0G0L KID0L

1' ,anuari 1))' W"I Is&a$ Pere$%ua KA.A"G -AKA-

(/ Dese$ber 1))' W"I Is&a$ Pere$%ua B.A-BA"G BA.AT G4

/ 4#tober 1))) W"I Is&a$ Pere$%ua PELALA"GA" W4"4,AT

(' ,u&i 1)) W"I Is&a$ Pere$%ua ,A",A"G W0L0"G P0S

( -aret 1))) W"I Is&a$ Pere$%ua G4"DA"G LEBAK WI"

1 Agustus 1))' W"I Is&a$ Pere$%ua ,A",A"G W0L0"G P0S

16 ,uni 1))' W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

' "o;e$ber 1))' W"I Is&a$ Pere$%ua KEB4"SAW4 KEB4"5A

1 Agustus 1))) W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

) Se%te$ber 1))) W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

1( "o;e$ber 1))! W"I Is&a$ Pere$%ua KEB4"SAW4 KEB4"5A

* -ei ((( W"I Is&a$ Pere$%ua B0Y0TA" KEB4"5A"DI

6 "o;e$ber (( W"I Is&a$ Pere$%ua KEB4"5A"DI G4"DA"

! ,u&i 1))) W"I Is&a$ Pere$%ua TE"GGILIS .E,4 G4"D

) Dese$ber ((( W"I Is&a$ Pere$%ua TE"GGILIS .E,4 G4"D

(6 Se%te$ber 1)) W"I Is&a$ Pere$%ua KA.A"G KLIW4"

1/ ,anuari 1))) W"I Is&a$ Pere$%ua KA.A"G KLIW4"

( -aret 1))' W"I Is&a$ Pere$%ua KA.A"G KLIW4"

(' A%ri& 1))' W"I Is&a$ Pere$%ua KA.A"G KLIW4"


27/684

61 -ei 1))) W"I Is&a$ Pere$%ua TE"GGILIS .E,4 G4"D

! 4#tober 1))' W"I Is&a$ Pere$%ua W4W4"G ,4G4 .EP4

1( Agustus 1))) W"I Is&a$ Pere$%ua KALIPA"G K.IKILA" G.

(* ,uni 1))) W"I Is&a$ Pere$%ua KALIPA"G K.IKILA" G.

1) A%ri& 1))) W"I Is&a$ Pere$%ua PA"DEA" KA"D0"G WI

61 4#tober 1))' W"I Is&a$ Pere$%ua PELALA"GA" W4"4,AT

(' ,u&i 1))) W"I Is&a$ Pere$%ua -A"TI"GA" TE"GGILIS+ + + + +

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B. KETERA

a% "a$a 4rang Tua A&a$at 4rang Tua

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GAN KELUARGA

Aga$a "a$a Wa&i A&a$at Wa&i

15 16 17 18 19 20

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Kebangsaan

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53 KETE.A"G

n Di teri$a di -adrasa:

A&asan Di -adrasa: Tangga& Ke&as Ta:un

Pada Ting#at

26 27 28 29 30 31

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" PE"DIDIKA"

-eninggaan -adrasa:

e&u$ Ta$at Ta$at dan $eneri$a I?a@a:

Sebab Ke&uar Ke$ana Ta:un Ting#at "o$or I?a@a:

32 33 34 35 36 37 38

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Tg& di#e&uar#anI?a@a:

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Surat Tanda Lu&us =STL>

-enerus#an #eTa:un Ting#at "o$or =STL> Tg& di#e&uar#an =STL>

39 40 41 42 43 44

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(()(* )(* (+)(* 0 0 0 0 1

(()(/ )(/ (+)(/ 0 0 0 0 2

(()(! )(! (+)(! 0 0 0 0 3

(()( )( (+)( 0 0 0 0 4

(()(' )(' (+)(' 0 0 0 0 5

(()() )() (+)() 0 0 0 0 6

(()1( )1( (+)1( 0 0 0 0 7

(()11 )11 (+)11 0 0 0 0 8

(()1 )1 (+)1 0 0 0 0 9

(()16 )16 (+)16 0 0 0 1 0

(()1* )1* (+)1* 0 0 0 1 1

(()1/ )1/ (+)1/ 0 0 0 1 2

(()1! )1! (+)1! 0 0 0 1 3

(()1 )1 (+)1 0 0 0 1 4

(()1' )1' (+)1' 0 0 0 1 5

(()1) )1) (+)1) 0 0 0 1 6

(()( )( (+)( 0 0 0 1 7

(()1 )1 (+)1 0 0 0 1 8

(() ) (+) 0 0 0 1 9

(('! '! (+'! 0 0 0 2 0

(('' '' (+'' 0 0 0 2 1

((''6 ''6 (+''6 0 0 0 2 2

((''* ''* (+''* 0 0 0 2 3((''/ ''/ (+''/ 0 0 0 2 4

(('' '' (+'' 0 0 0 2 5

((''' ''' (+''' 0 0 0 2 6

(('') '') (+'') 0 0 0 2 7

((')( ')( (+')( 0 0 0 2 8

((')1 ')1 (+')1 0 0 0 2 9

((') ') (+') 0 0 0 3 0


623/684

((')6 ')6 (+')6 0 0 0 3 1

((')* ')* (+')* 0 0 0 3 2

((')/ ')/ (+')/ 0 0 0 3 3

(('! '! (+'! 0 0 0 3 4

(('!6 '!6 (+'!6 0 0 0 3 5

(('!* '!* (+'!* 0 0 0 3 6

(('!/ '!/ (+'!/ 0 0 0 3 7(('!! '!! (+'!! 0 0 0 3 8

(('' '' (+'' 0 0 0 3 9

((') ') (+') 0 0 0 4 0

((''( ''( (+''( 0 0 0 4 1

((''1 ''1 (+''1 0 0 0 4 2

((''! ''! (+''! 0 0 0 4 3

((')! ')! (+')! 0 0 0 4 4

(()6 )6 (+)6 0 0 0 4 5

(('(6 '(6 (+'(6 0 0 0 4 6

(('(* '(* (+'(* 0 0 0 4 7(('1' '1' (+'1' 0 0 0 4 8

(('1) '1) (+'1) 0 0 0 4 9

(('( '( (+'( 0 0 0 5 0

(('1 '1 (+'1 0 0 0 5 1

((' ' (+' 0 0 0 5 2

(('6 '6 (+'6 0 0 0 5 3

(('6 '6 (+'6 0 0 0 5 4

(('6) '6) (+'6) 0 0 0 5 5

(('*( '*( (+'*( 0 0 0 5 6

(('** '** (+'** 0 0 0 5 7

(('*) '*) (+'*) 0 0 0 5 8

(('/ '/ (+'/ 0 0 0 5 9

(('/' '/' (+'/' 0 0 0 6 0

(('!( '!( (+'!( 0 0 0 6 1

(('* '* (+'* 0 0 0 6 2

((') ') (+') 0 0 0 6 3

((')' ')' (+')' 0 0 0 6 4

((')) ')) (+')) 0 0 0 6 5

(('(1 '(1 (+'(1 0 0 0 6 6

(('( '( (+'( 0 0 0 6 7

(('(! '(! (+'(! 0 0 0 6 8

(('( '( (+'( 0 0 0 6 9

(('(' '(' (+'(' 0 0 0 7 0

(('() '() (+'() 0 0 0 7 1

(('1( '1( (+'1( 0 0 0 7 2

(('11 '11 (+'11 0 0 0 7 3

(('16 '16 (+'16 0 0 0 7 4

(('1* '1* (+'1* 0 0 0 7 5


624/684

(('1! '1! (+'1! 0 0 0 7 6

(('1 '1 (+'1 0 0 0 7 7

(('6( '6( (+'6( 0 0 0 7 8

(('*/ '*/ (+'*/ 0 0 0 7 9

(('/1 '/1 (+'/1 0 0 0 8 0

(('/ '/ (+'/ 0 0 0 8 1

(('!1 '!1 (+'!1 0 0 0 8 2(('1 '1 (+'1 0 0 0 8 3

((' ' (+' 0 0 0 8 4

(('6 '6 (+'6 0 0 0 8 5

(()(( )(( (+)(( 0 0 0 8 6

(()(1 )(1 (+)(1 0 0 0 8 7

(()( )( (+)( 0 0 0 8 8

(()(6 )(6 (+)(6 0 0 0 8 9

((6* 6* (+6* 0 0 0 9 0

((/6 /6 (+/6 0 0 0 9 1

((/! /! (+/! 0 0 0 9 2((/ / (+/ 0 0 0 9 3

((/' /' (+/' 0 0 0 9 4

((!( !( (+!( 0 0 0 9 5

((!1 !1 (+!1 0 0 0 9 6

((!6 !6 (+!6 0 0 0 9 7

(()( )( (+)( 0 0 0 9 8

(() ) (+) 0 0 0 9 9

(('(/ '(/ (+'(/ 0 0 1 0 0

(('*1 '*1 (+'*1 0 0 1 0 1

(('*' '*' (+'*' 0 0 1 0 2

(('/6 '/6 (+'/6 0 0 1 0 3

(('/* '/* (+'/* 0 0 1 0 4

(('/! '/! (+'/! 0 0 1 0 5

(('/) '/) (+'/) 0 0 1 0 6

(('/ '/ (+'/ 0 0 1 0 7

((' ' (+' 0 0 1 0 8

((6( 6( (+6( 0 0 1 0 9

((66 66 (+66 0 0 1 1 0

((6/ 6/ (+6/ 0 0 1 1 1

((6! 6! (+6! 0 0 1 1 2

((6 6 (+6 0 0 1 1 3

((6' 6' (+6' 0 0 1 1 4

((*/ */ (+*/ 0 0 1 1 5

((!/ !/ (+!/ 0 0 1 1 6

(( (+ 0 0 1 1 7

((' ' (+' 0 0 1 1 8

(() ) (+) 0 0 1 1 9

(('( '( (+'( 0 0 1 2 0


625/684

(('* '* (+'* 0 0 1 2 1

(('/ '/ (+'/ 0 0 1 2 2

(() ) (+) 0 0 1 2 3

(()6 )6 (+)6 0 0 1 2 4

(('/ '/ (+'/ 0 0 1 2 5

((') ') (+') 0 0 1 2 6

(('* '* (+'* 0 0 9 2 2


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INDUK SANTRI

MADRASAH DINIYAH SALAFIYAH

Pondok Pesantren Salafiyah

Keboncandi Gondangwetan Pasuruan

No Induk 00904

A. KETERANGAN DIRI SISWA

13 "a$a Leng#a% Santri HA"IYA AL+KAFF

3 "a$a Panggi&an +

63 Te$%at Tg& La:ir ,E-BE. (6 A%ri& ((!

*3 Kebangsaan W"I

/3 Aga$a Is&a$

!3 ,enis Ke&a$in Pere$%uan

3 A&a$at Leng#a% ,E-BE.

B. KETERANGAN KELUARGA

'3 "a$a 4rang Tua

a3 A


646/684

a3 Be&u$ Ta$at Pada Ting#at +

1> Sebab Ke&uar +

> Ke$ana +

b3 Ta$at dan $eneri$a I?a@a:

1> Ta:un + > Ting#at

6> "o$or I?a@a: +

*> Tg& di#e&uar#an I?a@a: + /> ,u$&a: "i&ai

c3 Surat Tanda Lu&us =STL>

1> Ta:un + > Ting#at

6> "o$or =STL> +

*> Tg& di#e&uar#an =STL> + /> ,u$&a: "i&ai

d3 -enerus#an #e +


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"o3 Te&%3 +

"o3 Te&%3 +


648/684

+

+

+

+


649/684

FORMULIR DAFTAR ULANG

MADRASAH DINIYAH SALAFIYAH

Pondok Pesantren Salafiyah

Keboncandi Gondangwetan Pasuruan

No Induk

E""#509

13 "a$a Leng#a% Santri

3 "a$a Panggi&an

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Data Siswa Induk