Online New Student Admission Form Vianney Primary School
Fill in the email address, Prospective Student Data, Family Data, and Propose Interview Date and Time. Proof of registration in PDF file will be sent to the email address used in this registration. Thank you.
* Required
Email address
*
Your email
PROSPECTIVE STUDENT DATA
Student's Full Name
*
Your answer
Place & Date of Birth
*
Your answer
Gender
*
Male
Female
Blood Type
*
Choose
A
B
AB
O
Religion
*
Choose
Katolik
Kristen
Islam
Hindu
Budha
Kong Hu Chu
Children to / from
*
Your answer
Address
No need to fill in if you live with parents
Your answer
Telephone / Mobile
Your answer
Origin of School
Your answer
FAMILY DATA
Full Name of Father / Guardian
Your answer
Father / Guardian Education
Your answer
Father / Guardian Job
Your answer
Father / Guardian Phone / Cellphone
Your answer
Mother / Guardian Full Name
Your answer
Mother / Guardian Education
Your answer
Mother / Guardian Occupation
Your answer
Telephone / Cellphone Mother / Guardian
Your answer
Parent / Guardian Address
*
Your answer
INTERVIEW DETAIL
Interview for Prospective Students' Parents
Online Interview
*
Please choose the time between: 08.00-14.00 WIB
MM
/
DD
/
YYYY
Time
:
AM
PM
Interview Detail
*
WhatsApp Message
WhatsApp Call
Video Call
Come to School
Submit
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