FORM PENDAFTARAN
RUMAH BELAJAR " BRIGHT EDUCATION "
ASAL SEKOLAH
PILIHAN PROGRAM BELAJAR
Kimia
Fisika
Biologi
Matematika
Calistung
English For Kids (SD)
English For Teens (SMP-SMA)
Lain
Jenis layanan
Privat (Guru datang ke rumah)
Belajar kelompok ( Siswa datang ke Bright Education)
Belajar On-Line ( Pembelajaran melalui Zoom)
NAMA CALON SISWA/SISWI
*
First Name
Last Name
TANGGAL LAHIR
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JENIS KELAMIN
Silahkan Pilih
Male
Female
N/A
ALAMAT TEMPAT TINGGAL
*
Jalan
Kecamatan
Kota
Provinsi
Kode POS
Silahkan Pilih
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Negara
E-mail Siswa/Orangtua
Email Aktif
Name Orang Tua Kandung
*
Depan
Belakang
Nomor Whatsapp siswa
Format: (+62) .
Nomor whatsapp Orang Tua
Format: (+62) .
Pekerjaan orangtua
*
Dengan melengkapi form ini maka Siswa - Orangtua siswa menyatakan menyetujui aturan dan tata tertib Rumah belajar Bright Education.
Dengan melengkapi form ini maka siswa dan orangtua siswa menyatakan menyetujui aturan dan tatatertib rumah belajar bright education. Mohon untuk membaca secara seksama ketentuan dan tata tertib berikut :
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