The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Send
Section 1 of 3
FORMULIR PENDAFTARAN SMP BOARDING SCHOOL PUTRA HARAPAN PURWOKERTO
Loading image…
Loading...
Loading…
Isikan Tanggal hari ini
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Jenis Pendaftaran
Question Type
Loading image…
Siswa Baru
Pindahan
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Section 2 of 3
DATA PRIBADI
isilah data pribadi sesuai dengan akta dan KK
Nama (sesuai akta)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Tempat Tanggal Lahir
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Jenis Kelamin
Question Type
Loading image…
Laki-Laki
Perempuan
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
Asal Sekolah
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Berkebutuhan Khusus
Question Type
Loading image…
Ya
Tidak
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Alamat Tempat Tinggal
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Anak keberapa (berdasarkan KK)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
No Telephone
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Apakah Penerima KPS/PKH
Question Type
Loading image…
Ya
Tidak
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Apakah Penerima KIP / KBP
Question Type
Loading image…
Ya
Tidak
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Apakah layak mendapatkan PIP
Question Type
Loading image…
Ya
Tidak
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Section 3 of 3
DATA ORANG TUA
isilah data dibawah ini selengkap mungkin
Nama Ayah
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Pekerjaan
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Pekerjaan
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
No Telephone
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Nama Ibu
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Pendidikan
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Pekerjaan
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
No Telephone
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Dari manakah Bapak/Ibu/Ananda mendapatkan sumber informasi SMP Boarding Putra Harapan Purwokerto ?
Question Type
Loading image…
Website SMP
Instagram SMP
Instagram lain
Orang tua dari siswa SMP Boarding School Putra Harapan Purwokerto
Kakak kelas SMP Boarding School Putra Harapan Purwokerto
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
Isikan Tanggal hari ini
No responses yet for this question.
Jenis Pendaftaran
Copy
No responses yet for this question.
DATA PRIBADI
Nama (sesuai akta)
Copy
No responses yet for this question.
Tempat Tanggal Lahir
Copy
No responses yet for this question.
Jenis Kelamin
Copy
No responses yet for this question.
Asal Sekolah
Copy
No responses yet for this question.
Berkebutuhan Khusus
Copy
No responses yet for this question.
Alamat Tempat Tinggal
No responses yet for this question.
Anak keberapa (berdasarkan KK)
Copy
No responses yet for this question.
No Telephone
Copy
No responses yet for this question.
Apakah Penerima KPS/PKH
Copy
No responses yet for this question.
Apakah Penerima KIP / KBP
Copy
No responses yet for this question.
Apakah layak mendapatkan PIP
Copy
No responses yet for this question.
DATA ORANG TUA
Nama Ayah
Copy
No responses yet for this question.
Pekerjaan
Copy
No responses yet for this question.
Pekerjaan
Copy
No responses yet for this question.
No Telephone
Copy
No responses yet for this question.
Nama Ibu
Copy
No responses yet for this question.
Pendidikan
Copy
No responses yet for this question.
Pekerjaan
Copy
No responses yet for this question.
No Telephone
Copy
No responses yet for this question.
Dari manakah Bapak/Ibu/Ananda mendapatkan sumber informasi SMP Boarding Putra Harapan Purwokerto ?
Copy
No responses yet for this question.
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.