JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FORMULIR PPDB TP. 2019/2020 SMP NEGERI 1 BANGODUA
Silahkan Isi dengan Data yang sebenarnya
Sign in to Google
to save your progress.
Learn more
* Indicates required question
FORMULIR PESERTA DIDIK
No Pendaftaran (dari panitia PPDB)
*
Your answer
Asal Sekolah
*
Your answer
Nama Lengkap
*
Your answer
Jenis Kelamin
*
Choose
Laki-laki
Perempuan
NISN
Your answer
NIK
Your answer
Tempat Lahir
Your answer
Bulan/hari/tahun lahir
*
Your answer
No Registrasi Akta
Your answer
Agama
Your answer
Kewarganegaraan
Your answer
Anak ke
Your answer
Jumlah Saudara Kandung
Your answer
Alamat Jalan
Your answer
Gang / Blok
Your answer
RT
Your answer
RW
Your answer
Desa
Your answer
Kecamatan
Your answer
Kabupaten
Your answer
Kode Pos
Your answer
Penerima KIP/KPKH
Choose
Iya
Tidak
No. KIP/KPKH
Your answer
DATA IBU KANDUNG
Nama Ibu Kandung
Your answer
Tempat Lahir
Your answer
Tanggal Lahir (Bulan/tanggal/tahun)
MM
/
DD
/
YYYY
Pendidikan Tertinggi
Your answer
Pekerjaan
Your answer
Penghasilan Per Bulan
Your answer
Alamat
Your answer
DATA AYAH KANDUNG
Nama Ayah
Your answer
Tempat Lahir
Your answer
Tanggal Lahir
MM
/
DD
/
YYYY
Pendidikan Tertinggi
Your answer
Pekerjaan
Your answer
Penghasilan Per Bulan
Your answer
Alamat
Your answer
KONTAK
No. HP Ayah / Ibu
Your answer
DATA PERIODIK
Berat Badan ( Dalam CM)
Your answer
Tinggi Badan ( cm )
Your answer
Jarak dari sekolah ke rumah (KM)
Choose
Kurang dari 1 KM
1 - 5 KM
Lebih dari 5 KM
PRESTASI
Jenis Prestasi
Choose
Sains
Seni
Olahraga
Lainnya
Tingkat
Choose
Sekolah
Kecmatan
Kabupaten
Nasional
Nama Prestasi
Your answer
Tahun
Your answer
Penyelenggara
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report