Pendaftaran Siswa Baru

Grade level*
Level 1Level 2Level 3Level 4Level 5Level 6

Student Name*

Gender*
MaleFemale

Place of Birth*

Date of Birth*

NIK*

School origin*

Religion*
IslamOthers

Position in the family*
1st child2nd child3rd child

Number of siblings*

Address*

Acomodation*
With parentsWith guardianOthers

Father's Information

Father's name*

Religion*
IslamOthers

Education background*
SMAD3S1/D4S2S3Others

Ocupation*

Mother's Information

Mother's name*

Religion*
IslamOthers

Education background*
SMAD3S1/D4S2S3Others

Ocupation*

Guardian's Information

Guardian's name*

Religion*
IslamOthers

Education background*
SMAD3S1/D4S2S3Others

Ocupation*

Communication preferences between school and parents

WhatsApp Number*

Phone Number*

Email*

Document Upload

Photo*

Copies of Birth Certivicate*

Copies of Family Card*