REGISTRATION FORM
Silakan isi form berikut, pastikan data yang Anda isikan benar.
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Nama Siswa (Student's Name) *
Panggilan (Nickname)
Jenis Kelamin (Gender) *
Required
Tanggal Lahir (Date of Birth) *
Format DD/MM/YYYY (29/12/1998)
No HP Siswa (Student's Phone Number)
Agama (Religion)
Email (Email)
Alamat (Address) *
Asal Sekolah (Student's School) *
Kurikulum
Clear selection
Kelas (Grade/Level) *
Preferensi Tutor (Tutor Preference )
Penjadwalan (Scheduling) *
Example: 1. Senin 16.00 = Matematika | 2. Rabu 18.00 = Fisika
Nama Orang Tua (Parents/Guardian) *
No HP Orang Tua (Parent's/Guardian's Phone Number) *
Email Orang Tua (Parent's/Guardian's Email) *
Alamat Orang Tua (Parent's/Guardian's Address) *
Catatan Khusus (Additional Note)
Submit
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