KARAWACI SEMUA PILIHAN ( SD SMP )

School Location :

Karawaci

Education Level :

Primary/ SD

Junior High/ SMP

Senior High/ SMA

English course (Kids-Adults)

Mandarin course (Kids-Adults)

Calistung/ Baca Tulis Hitung (3-6 Years old)

Bimbel/ Bimbingan Belajar (SD, SMP, SMA, SMK)

T-Class (Solve difficulties in learning)

Firts Name

Last Name

Nickname :

Gender :

Place of Birth :

Date / Time

Citizenship :

Religion :

Origin School (Name School) :

HEALTH HISTORY

Surgery, Remarks :

Illness, Remarks :

Degerenatif Illness, Remarks :

Father's Name ( Nama Sesuai KTP ) :

Parent's Occupation :

Phone/Mobile

Mother's Name ( Nama Sesuai KTP ) :

Parent's Occupation :

Phone/Mobile

Address

Address Line

City

State

Zip Code

Other Family Member (Emergency Contact)

First Name

Last Name

Phone/Mobile

ATTACHMENT FORM

Please fill in for all levels of education

SURAT KESEPAKATAN BERSAMA - ADMIN ORTU

DOWNLOAD

Please fill in the attachment only for junior high and high school students

SURAT PERNYATAAN KESANGGUPAN MENYEDIAKAN MEDIA PEMBELAJARAN

DOWNLOAD

*Please download the attachments provided and upload the completed scans of the attachments in the upload data section.

Surat Kesepakatan :

Choose File

Surat Kesanggupan :

Choose File

Date / Time

Signature

Sign Here

Bukti Pembayaran :

Choose File

Akta lahir :

Choose File

KTP Ayah :

Choose File

KTP Ibu :

Choose File

Kartu keluarga :

Choose File

Rapot Terakhir :

Choose File

Ijazah :

Choose File

HEALTH HISTORY

Other Family Member (Emergency Contact)

ATTACHMENT FORM

Please fill in for all levels of education

Please fill in the attachment only for junior high and high school students

Location

Karawaci

Citra Raya

Get In Touch

Contact