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.
Email address *
PROSPECTIVE STUDENT DATA
Student's Full Name *
Place & Date of Birth *
Gender *
Blood Type *
Religion *
Children to / from *
Address
No need to fill in if you live with parents
Telephone / Mobile
Origin of School
FAMILY DATA
Full Name of Father / Guardian
Father / Guardian Education
Father / Guardian Job
Father / Guardian Phone / Cellphone
Mother / Guardian Full Name
Mother / Guardian Education
Mother / Guardian Occupation
Telephone / Cellphone Mother / Guardian
Parent / Guardian Address *
INTERVIEW DETAIL
Interview for Prospective Students' Parents
Online Interview *
Please choose the time between: 08.00-14.00 WIB
MM
/
DD
/
YYYY
Time
:
Interview Detail *
Submit
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