MENUPPDBv1.0NO DAFTARTGL DAFTARNAMA SISWAJKLINDUKNISNNIKTEMPAT LAHIRTGL LAHIRAGA MADITERIMA DI KELASAYAHNAMA IBUNAMA WALIJENIS TINGGALALAMATRTRWNAMA DESAKEC IDKOTA IDKODE POSTINGGI BADANBERAT BADANBKBTHN KHUSUSNO TELPNO HPJARAK>1 KMTRANSJML SDREMAILASAL SEKOLAHKETERANGANTahun Pelajaran2013-2014NAMA AYAHTAHUNKERJAPENDGAJINAMA IBUTAHUNKERJAPENDGAJI IBUNAMA WALITHN LHR WALIKERJA WALIPEND WALIGAJI WALIJENISNO IZAJAHNAMA SEKNSSNPSNALAMATDESA/KELKECKABPROPINSI12345678910111213141516171819202122232425262728293031323334353637383940.00414243444546474849505152535455126/06/2013EKA MUSTIKA132010102038912345BOGOR2/6/0711MULYANA1978553ATIKAH1968151Jln Raya Sukabumi0207Harjasari167201657010251-2434590251-198897491.0012emcamail@gmail.com2SDN HARJASARI 112345678902020202020Jln RulitaHarjasariCiawiBogorJawa BaratDiterimaIDENTITAS SEKOLAH2Lembaga-3KementrianDINAS PENDIDIKAN KOTA BANJARMASIN-4UPT-5Nama SekolahSMK MUHAMMADIYAH 1 BANJARMASIN-6StatusSWASTA-7NPSN30304265-8NSS-9Alamat-10Desa/Kelurahan-11Kode POS-12Kecamatan-13Kabupaten/Kota14PropinsiKalimantan Selatan1516KEPALA SEKOLAH17Nama KepsekDrs. Sujoyo Sujianto18NIP198906071920Batas Usia PPDB2122232425262728WARNING291. Disarankan Masukan Data Peserta Didik Yg Memenuhi Syarat Saja (min 6 Tahun)30312. Jangan Melakukan Drag & Drop Data . Karena Akan Merusak Format Laporan.32333. Lakukan Copy > Paste Special Value Jika Ingin Memindahkan Data Kebaris Lain34354. Jangan Menghapus Kolom Atau baris Tetapi cukup hapus Data Di Celnya Saja36375. Format ini bukan format resmi yg dikeluarkan pemerintah dalam hal ini Kemendikbud RI38396. Silahkan Melakukan Pengembangan lebih lanjut agar sesuai dengan yg anda harapkan404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333334335336337338339340341342343344345346347348349350351352353354355356357358359360361362363364365366367368369370371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407408409410411412413414415416417418419420421422423424425426427428429430431432433434435436437438439440441442443444445446447448449450451452453454455456457458459460461462463464465466467468469470471472473474475476477478479480481482483484485486487488489490491492493494495496497498499500501502503504505506507508509510511512513514515516517518519520521522523524525526527528529530531532533534535536537538539540541542543544545546547548549550551552553554555556557558559560561562563564565566567568569570571572573574575576577578579580581582583584585586587588589590591592593594595596597598599600601602603604605606607608609610611612613614615616617618619620621622623624625626627628629630631632633634635636637638639640641642643644645646647648649650651652653654655656657658659660661662663664665666667668669670671672673674675676677678679680681682683684685686687688689690691692693694695696697698699700701702703704705706707708709710711712713714715716717718719720721722723724725726727728729730731732733734735736737738739740741742743744745746747748749750751752753754755756757758759760761762763764765766767768769770771772773774775776777778779780781782783784785786787788789790791792793794795796797798799800801802803804805806807808809810811812813814815816817818819820821822823824825826827828829830831832833834835836837838839840841842843844845846847848849850851852853854855856857858859860861862863864865866867868869870871872873874875876877878879880881882883884885886887888889890891892893894895896897898899900901902903904905906907908909910911912913914915916917918919920921922923924925926927928929930931932933934935936937938939940941942943944945946947948949950951952953954955956957958959960961962963964965966967968969970971972973974975976977978979980981982983984985986987988989990991992993994995996997998999100010011002100310041005100610071008100910101011101210131014101510161017101810191020102110221023102410251026102710281029103010311032103310341035103610371038103910401041104210431044104510461047104810491050105110521053105410551056105710581059106010611062106310641065106610671068106910701071107210731074107510761077107810791080108110821083108410851086108710881089109010911092109310941095109610971098109911001101110211031104110511061107110811091110111111121113111411151116111711181119112011211122112311241125112611271128112911301131113211331134113511361137113811391140114111421143114411451146114711481149115011511152115311541155115611571158115911601161116211631164116511661167116811691170117111721173117411751176117711781179118011811182118311841185118611871188118911901191119211931194119511961197119811991200120112021203120412051206120712081209121012111212121312141215121612171218121912201221122212231224122512261227122812291230123112321233123412351236123712381239124012411242124312441245124612471248124912501251125212531254125512561257125812591260126112621263126412651266126712681269127012711272127312741275127612771278127912801281128212831284128512861287128812891290129112921293129412951296129712981299130013011302130313041305130613071308130913101311131213131314131513161317131813191320132113221323132413251326132713281329133013311332133313341335133613371338133913401341134213431344134513461347134813491350135113521353135413551356135713581359136013611362136313641365136613671368136913701371137213731374137513761377137813791380138113821383138413851386138713881389139013911392139313941395139613971398139914001401140214031404140514061407140814091410141114121413141414151416141714181419142014211422142314241425142614271428142914301431143214331434143514361437143814391440144114421443144414451446144714481449145014511452145314541455145614571458145914601461146214631464146514661467146814691470147114721473147414751476147714781479148014811482148314841485148614871488148914901491149214931494149514961497149814991500

emcamail@gmail.com

F-PSB10DINAS PENDIDIKAN KOTA BANJARMASIN0SMK MUHAMMADIYAH 1 BANJARMASIN0FORMULIR PESERTA DIDIK BARUTanggal Daftar:26/06/2013F-PSB1.IDENTITAS SEKOLAHa.Nama Sekolah:SMKMUHAMMADIYAH1BANJARMASINb.NSS:000000000000NPSN :30304265c.Alamat Sekolah:000000000000000000000000000000d.Kecamatan:000000000000000000000000000000e.Kabupaten/Kota:000000000000000000000000000000f.Provinsi:KALIMANTANSELATAN0000000000002.IDENTITAS PESERTA DIDIKa.Nama Lengkap:0000000000000000000b.Jenis Kelamin:L )Laki-lakiP )Perempuanc.NISN:0000000000No Induk Siswa0000000000000d.NIK:e.Tempat, Tanggal lahir:00,//f.Agama:01) Islam 02) Kristen Protestan 03) Katolik 04) Hindu 05) Budha 06) Khong Hu Cu 99) Lain-laing.Rombel:Tingkat:h.Identitas Orang Tua/WaliNama ayah:000000000000Tahun lahirPekerjaan:001 tidak bekerja 02 Nelayan 03 Petani 04 Peternak 05 PNS/TNI/POLRI 06 Karyawan Swasta 07 Pedagang Kecil 08 PedagangBesar 09 Wiraswasta 10 Wirausaha 11 Buruh 12 Pensiunan 99 lain-lainPendidikan:01 Tidak sekolah 02 Putus SD 03 SD Sederajat 04 SMP Sederajat 05 SMA Sederajat 06 D1 07 D2 08 D3 09 D4/S1 10 S2 11 S3Penghasilan bulanan:1 Kurang dari 1.000.000,- 2 Rp 1.000.000 - 2.000.000,- 3 Lebih dari Rp 3.000.000,-Nama Ibu:0000000000000000Tahun lahirPekerjaan)* Daftar pilihan sama pekerjaan ayahPendidikan01 Tidak sekolah 02 Putus SD 03 SD Sederajat 04 SMP Sederajat 05 SMA Sederajat 06 D1 07 D2 08 D3 09 D4/S1 10 S2 11 S3Penghasilan bulanan01 Kurang dari 1.000.000,- 2 Rp 1.000.000 - 2.000.000,- 3 Lebih dari Rp 3.000.000,-Nama Wali0000000000000000000000Tahun lahir0000Pekerjaan00)* Daftar pilihan sama pekerjaan ayahPendidikan0001 Tidak sekolah 02 Putus SD 03 SD Sederajat 04 SMP Sederajat 05 SMA Sederajat 06 D1 07 D2 08 D3 09 D4/S1 10 S2 11 S3Penghasilan bulanan01 Kurang dari 1.000.000,- 2 Rp 1.000.000 - 2.000.000,- 3 Lebih dari Rp 3.000.000,-i.Jenis Tinggal1 Bersama orang tua 2 Wali 3 Kos 4 Asrama 5 Panti Asuhan 9 lainnyaj.Alamat tempat tinggal000000000000000000000000000000R T0R WKelurahan/Desa0000000000Kode PosKecamatan000000000000000000000000000000Kabupaten/Kota000000000000000000000000000000Provinsi000000000000k.Tinggi BadancmBerat badan0kgl.Berkebutuhan Khusus001 Tidak 02 Netra (A) 03 Rungu (B) 04 Grahita ringan ( C ) 05 Grahita sedang ( C1 ) 06 Daksa ringan (D) 07 Daksa sedang ( D1 ) 08 Laras ( E )09 Wicara ( F ) 10 Tuna ganda ( G ) 11 Hiper aktif ( H ) 12 Cerdas Istimewa ( I ) 13 Bakat Istimewa ( J ) 14 Kesulitan belajar ( K ) 15 Narkoba ( N )16 Indigo ( O ) 17 Down Sindrome ( P ) 18 Autis ( Q ) 19 Terpencil / Terbelakang ( Bencana alam/sosial) 21 Tidak mampu ekonomim.No. telepon Rumah/hp/n.Jarak tempat tinggal ke sekolah1 Kurang dari 1 Km 2 Lebih dari 1 Km, sebutkan :00000Kmo.Alat transportasi ke sekolah001 Jalan kaki 02 Kendaraan pribadi 03 Kendaraan Umum/angkot/Pete-pete 04 Jempetan sekolah 05 Kereta api 06 Ojek07 Andong/Bendi/ sado / Dokar/Delman/Beca 08 Perahu penyebrangan/Rakit/Getek 99 LainnyapJumlah Saudara0q.E-mail Pribadi0000000000003.ASAL SISWAr.Jenis Sekolah1. TK/RA 2.SD/MI 3.RT/Lain2No Ijazah TK00000000000000s.Nama Sekolah000000000000000t.NSS0NSPSu.Alamat Sekolah0000000000000000000v.Desa /Kelurahan0000000000000000000w.Kecamatan0000000000000000000x.Kabupaten/Kota0000000000000000000y.Provinsi0000000000000000000... 2015Orangtua/Wali Siswa------------------------------------

&LCreated By : Semuz Rankrang

F-BOS10DINAS PENDIDIKAN KOTA BANJARMASIN0SMK MUHAMMADIYAH 1 BANJARMASIN0FORMULIR PESERTA DIDIK BARUTanggal Daftar://F-PSB1.IDENTITAS SEKOLAHa.Nama Sekolah:SMKMUHAMMADIYAH1BANJARMASINb.NSS:000000000000NPSN :30304265c.Alamat Sekolah:000000000000000000000000000000d.Kecamatan:000000000000000000000000000000e.Kabupaten/Kota:000000000000000000000000000000f.Provinsi:KALIMANTANSELATAN0000000000002.IDENTITAS PESERTA DIDIKa.Nama Lengkap:000000000000000000b.Jenis Kelamin:L )Laki-lakiP )Perempuanc.NISN:0000000000No Induk Siswa0000000000000d.NIK:e.Tempat, Tanggal lahir:00,//f.Agama:01) Islam 02) Kristen Protestan 03) Katolik 04) Hindu 05) Budha 06) Khong Hu Cu 99) Lain-laing.Rombel:Tingkat:1h. Riwayat BeasiswaJenisPenyelenggra / SumberTahun MulaiTahun Selesai123Jenis Beasiswa01) Anak berprestasi 02) Anak miskin 03) Pendidikan 04) Unggulan 99) Lain-laini.Catatan PrestasiTahunLombaJuara keTingkat 1) Sekolah 2) KecamatanJenis : 1) Sain 2) Seni13) Kabupaten 4) Provinsi3) Olahraga25) Nasional4) Lain-lain36) Internasionalj.Identitas Orang Tua/WaliNama ayah:000000000000000Tahun lahirPekerjaan:001 tidak bekerja 02 Nelayan 03 Petani 04 Peternak 05 PNS/TNI/POLRI 06 Karyawan Swasta 07 Pedagang Kecil 08 PedagangBesar 09 Wiraswasta 10 Wirausaha 11 Buruh 12 Pensiunan 99 lain-lainPendidikan:001 Tidak sekolah 02 Putus SD 03 SD Sederajat 04 SMP Sederajat 05 SMA Sederajat 06 D1 07 D2 08 D3 09 D4/S1 10 S2 11 S3Penghasilan bulanan:1 Kurang dari 1.000.000,- 2 Rp 1.000.000 - 2.000.000,- 3 Lebih dari Rp 3.000.000,-Nama Ibu:0000000000000000Tahun lahirPekerjaan0)* Daftar pilihan sama pekerjaan ayahPendidikan001 Tidak sekolah 02 Putus SD 03 SD Sederajat 04 SMP Sederajat 05 SMA Sederajat 06 D1 07 D2 08 D3 09 D4/S1 10 S2 11 S3Penghasilan bulanan01 Kurang dari 1.000.000,- 2 Rp 1.000.000 - 2.000.000,- 3 Lebih dari Rp 3.000.000,-Nama Wali0000000000000000000000Tahun lahir0000Pekerjaan00)* Daftar pilihan sama pekerjaan ayahPendidikan0001 Tidak sekolah 02 Putus SD 03 SD Sederajat 04 SMP Sederajat 05 SMA Sederajat 06 D1 07 D2 08 D3 09 D4/S1 10 S2 11 S3Penghasilan bulanan01 Kurang dari 1.000.000,- 2 Rp 1.000.000 - 2.000.000,- 3 Lebih dari Rp 3.000.000,-k.Jenis Tinggal1 Bersama orang tua 2 Wali 3 Kos 4 Asrama 5 Panti Asuhan 9 lainnyal.Alamat tempat tinggal000000000000000000000000000000R T0R W0Kelurahan/Desa00000000000Kode PosKecamatan000000000000000000000000000000Kabupaten/Kota000000000000000000000000000000Provinsi000000000000m.Tinggi BadancmBerat badan0kgn.Berkebutuhan Khusus001 Tidak 02 Netra (A) 03 Rungu (B) 04 Grahita ringan ( C ) 05 Grahita sedang ( C1 ) 06 Daksa ringan (D) 07 Daksa sedang ( D1 ) 08 Laras ( E )09 Wicara ( F ) 10 Tuna ganda ( G ) 11 Hiper aktif ( H ) 12 Cerdas Istimewa ( I ) 13 Bakat Istimewa ( J ) 14 Kesulitan belajar ( K ) 15 Narkoba ( N )16 Indigo ( O ) 17 Down Sindrome ( P ) 18 Autis ( Q ) 19 Terpencil / Terbelakang ( Bencana alam/sosial) 21 Tidak mampu ekonomio.No. telepon Rumah/hp000/p.Jarak tempat tinggal ke sekolah1 Kurang dari 1 Km 2 Lebih dari 1 Km, sebutkan :00000KmqAlat transportasi ke sekolah001 Jalan kaki 02 Kendaraan pribadi 03 Kendaraan Umum/angkot/Pete-pete 04 Jempetan sekolah 05 Kereta api 06 Ojek07 Andong/Bendi/ sado / Dokar/Delman/Beca 08 Perahu penyebrangan/Rakit/Getek 99 LainnyarJumlah Saudara0sE-mail Pribadi00000000000... 2015Orangtua/Wali Siswa------------------------------------

&LCreated By : Semuz Rankrang

F-S1FORMAT S-1Nama Sekolah:SMK MUHAMMADIYAH 1 BANJARMASINFormat S-1Status Sekolah:SWASTANPSN:30304265Alamat:0Desa:0Kecamatan:0Kabupaten:0PENERIMAAN PESERTA DIDIK BARUTahun Pelajaran 2013-2014NomorNama Calon SiswaJenisTempat & Tangal LahirUsiaNama AyahAlamatAsal SiswaKeteranganUrutDaftarKelaminTahunBulan1EKA MUSTIKALBOGOR, 06/02/200700MULYANAJln Raya SukabumiRT:02/07 Desa/Kel: Harjasari Kec:Dari SD , SDN HARJASARI 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2013Jumlah000000000Kepala SekolahDrs. Sujoyo SujiantoNIP :19890607

Hilangkan Centeng Pada "Blank"

F-S2FORMAT S-2Nama Sekolah:SMK MUHAMMADIYAH 1 BANJARMASINFormat S-2Status Sekolah:SWASTANPSN:30304265Alamat:0Desa:0Kecamatan:0Kabupaten:0PENERIMAAN PESERTA DIDIK BARUTahun Pelajaran 2013-2014NomorNama Calon SiswaJenisTempat & Tangal LahirUsiaNama AyahAlamatAsal SiswaDiterimaUrutDaftarKelaminTahunBulanDikelas1EKA MUSTIKALBOGOR, 06/02/200700MULYANAJln Raya SukabumiRT:02/07 Desa/Kel: Harjasari Kec:Dari SD , SDN HARJASARI 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PPDBKelasIIIIIIIVVVIJumlah 2013Jumlah1000001Kepala SekolahDrs. Sujoyo SujiantoNIP :19890607

Hilangkan Centeng Pada "Blank"

CEKTanggal PPDB6/1/13Cek Tanggal Lahir10/5/07Usia 5 tahun 7 bulan