Junior High School Online Registration

- Online Registration -

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Full Name / Nama Lengkap *

Nick Name / Nama Panggilan *

Place and Date of Birth / Tempat dan Tanggal Lahir *

Gender / Jenis Kelamin *

Previous School / Asal Sekolah *

Address of Previous School / Alamat Asal Sekolah *

Entry Grade / Masuk SMP SC Kelas *

Father's Name / Nama Ayah *

Father's Occupation / Pekerjaan Ayah *

Mother's Name *

Mother's Occupation / Pekerjaan Ibu *

Home Address / Alamat Rumah *

WhatsApp Number (Father) *

WhatsApp Number (Mother) *

Email Address *

Cell Phone Number / Nomor HP *

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