Form Pendaftaran Peserta Didik Baru SMAK Yos Sudarso 2020/2021
SMA Yos Sudarso Batam
Jenis Pendaftaran (Peserta didik Internal apabila peserta berasal dari SMP Yos Sudarso) *
Nama Lengkap Sesuai Ijazah *
Your answer
Jenis Kelamin *
NISN *
Your answer
Tempat Lahir *
Your answer
Tanggal Lahir *
MM
/
DD
/
YYYY
NIK (Nomor Induk Kependudukan)
Your answer
Agama *
Alamat Lengkap Sesuai KTP *
Your answer
Jenis Tinggal *
Alat Transportasi Ke Sekolah *
Telepon Rumah
Your answer
HP Murid
Your answer
Email
Your answer
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