Admission form into Ancilla
This form is for students seeking admission into Ancilla Catholic Comprehensive College-Wosing, Bali
First Name of student *
Last Name of student *
Student's date of birth *
Student's place of Birth *
First Name of student's Father *
Last Name of student's Father *
Father's phone number *
Father's email address
First Name of student's mother *
Last Name of student's mother *
Mother's phone number *
Mother's email address
Name of City/Town/Villege *
Sex *
Last school attended *
Last class attended *
Class of admission *
Religious denomination *
How many books have you read this year? *
Do you love reading? *
What is your favorite book? *
Why did you choose Ancilla Catholic Comprehensive College-Wosing-Bali? *
How did you hear about Ancilla? *
Name and contact of person who referred you to Ancilla
Thank you for your interest for Ancilla Catholic Comprehensive College. Someone will get back to you as soon as possible.
Ancilla is a name you must trust
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