Request edit access
FORMULIR PENDAFTARAN SEKOLAH MENENGAH KEJURUAN (SMK) AMANAH
TAHUN PEMBELAJARAN 20........ - 20.........
Nomor Pendaftaraan
Your answer
Program Keahlian :
A. IDENTITAS SEKOLAH
Nama Lengkap :
Your answer
Nama Panggilan :
Your answer
Jenis Kelamin :
Your answer
Tempat Kelahiran , (tgl/Bln/Thn) :
Your answer
Usia Ketika Mendaftar (........Tahun......bulan....)
Your answer
Agama :
Your answer
Suku Bangsa :
Your answer
Kewarganegaraan :
Jumlah Saudara (.......Kandung,........Tiri,.......Angkat,..)
Your answer
Anak ke (.......dari......Bersaudara) :
Your answer
Alamat Lengkap :
Your answer
No. Telepon Rumah/Hp :
Your answer
Bertempat tinggal dengan :
B. IDENTITAS SEKOLAH SEBELUMNYA
Nama Sekolah
Your answer
Alamat Sekolah
Your answer
C. IDENTITAS ORANGTUA
Nama
A.Ayah
Your answer
B. Ibu
Your answer
C.Wali
Your answer
Tempat/Tgl lahir
A.Ayah
Your answer
B.Ibu
Your answer
C.Wali
Your answer
Agama
A.Ayah
Your answer
B.Ibu
Your answer
C.Wali
Your answer
Pendidikan Terakhir
A.Ayah
Your answer
B.Ibu
Your answer
C.Wali
Your answer
Pekerjaan
A.Ayah
Your answer
B.Ibu
Your answer
C.Wali
Your answer
Alamat Lengkap
A.Ayah
Your answer
B.Ibu
Your answer
C.Wali
Your answer
Nomor Telepon Rumah / Hp
PIN BBM
Your answer
whatsapp
Your answer
A.Ayah *
Your answer
B.Ibu *
Your answer
C.Wali *
Your answer
Penghasilan / Bulan
A.Ayah
Your answer
B.Ibu
Your answer
C.Wali
Your answer
Demikian Formulir ini diisi dengan sebenarnya untuk dipergunakan sebagaimana semestinya
Mengetahui, Kota Tangerang,..................... 20.......

Orang Tua Siswa/i Calon Siswa/i


(...........................)
(...............................................)

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms