Request edit access
Biodata Siswa Kelas X
REGISTRASI SISWA KELAS X TP. 2019-2020
Kelas *
Nama Wali Kelas *
Your answer
Identitas Peserta Didik
Isilah data dengan lengkap dan benar!
Nama Lengkap ( Sesuai Ijazah) *
Your answer
Your answer
NIK (Nomor Induk Keluarga) *
Your answer
Jenis Kelamin *
Tempat Lahir *
Your answer
Tanggal-bulan-tahun Lahir *
Your answer
Status dalam keluarga
Your answer
Anak Ke *
Your answer
Jumlah Saudara *
Your answer
Hobby
Your answer
Cita-Cita
Your answer
Alamat *
Your answer
Kode Pos *
Your answer
No. Telepon/HP *
Your answer
E-mail *
Your answer
Sekolah Asal *
Your answer
Identitas Orangtua Siswa
Nama Ayah *
Your answer
Tanggal Lahir Ayah *
MM
/
DD
/
YYYY
Pendidikan Ayah *
Your answer
Pekerjaan Ayah *
Your answer
NIK Ayah *
Your answer
Telepon Ayah *
Your answer
Nama Ibu *
Your answer
Tanggal Lahir Ibu *
Your answer
Pendidikan Ibu *
Your answer
Pekerjaan Ibu *
Your answer
NIK Ibu *
Your answer
Telepon Ibu *
Your answer
Identitas Wali Siswa
Diisi jika siswa tidak tinggal bersama orangtua
Nama Wali
Your answer
Tgl Lahir Wali
Your answer
NIK Wali
Your answer
Pendidikan Wali
Your answer
Pekerjaan Wali
Your answer
Telepon Wali
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service