Nama
*
Nama Depan
Nama Belakang
Jenis Kelamin
*
Silahkan Pilih
Male
Female
N/A
Alamat Tinggal
*
Alamat Jalan /Desa/Kelurahan
Kecamatan
Kota / Kab.
Negara Bagian / Provinsi
Kode Pos
Nama Ayah
*
Pekerjaan Ayah
*
Nama Ibu
*
Pekerjaan Ibu
*
WA/Telepon
*
Harap masukkan nomor telepon yang dapat dihubungi
Akta Kelahiran
*
Unggah File
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of
Ijazah / Ket. Lulus
*
Unggah File
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Raport Terakhir
*
Unggah File
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Sertifikat Prestasi (Jika Ada)
Unggah File
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Slip Pembayaran Pendaftaran
*
Unggah File
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Pilih Program
*
Boarding School
Full Day School
Kirim
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