KB-1 KB-2 TK-A TK-B SD SMP SMA FORMULIR PENDAFTARAN SISWA BARU TAHUN PELAJARAN No. (diisi petugas) Assalamu’alaikum Warahmatullahi Wabarakatuh Yang bertanda tangan dibawah ini, Nama : ............................................................................................................................................. Umur : ............................................................................................................................................. Pekerjaan : (sebutkan secara jelas) ....................................................................................................... Alamat tempat bekerja/kantor (lengkap) : ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. Mengajukan permohonan kepada Kepala untuk menerima anak kandung/ asuh/ angkat Kami: Nama lengkap : ................................................................................................................................. Nama panggilan : ................................................................................................................................. Tempat & tgl. Lahir : ................................................................................................................................. Untuk menjadi siswa kelas : ..................... ( ..................... ) ........................................................................................... Wassalamu’alaikum Warahmatullahi Wabarakatuh Orang tua/ wali siswa ________________________ Nama jelas PAUD Terpadu (KB1 - KB2, TK-A, TK-B, SD-kelas awal) SMP, SMA (full day - boarding) Jalan Raya Parpostel, Jati Asih, Bekasi - Jawa Barat 1
7
Embed
FORMULIR PENDAFTARAN SISWA BARU TAHUN PELAJARANFORMULIR PENDAFTARAN SISWA BARU TAHUN PELAJARAN No. (diisi petugas) Assalamu’alaikum Warahmatullahi Wabarakatuh Yang bertanda tangan
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
KB-1 KB-2 TK-A TK-B SD SMP SMA
FORMULIR PENDAFTARAN SISWA BARUTAHUN PELAJARAN
No. (diisi petugas)
Assalamu’alaikum Warahmatullahi Wabarakatuh
Yang bertanda tangan dibawah ini,
Nama : .............................................................................................................................................
Umur : .............................................................................................................................................
Pekerjaan : (sebutkan secara jelas) .......................................................................................................
Mengajukan permohonan kepada Kepala untuk menerima
anak kandung/ asuh/ angkat Kami:
Nama lengkap : .................................................................................................................................
Nama panggilan : .................................................................................................................................
Tempat & tgl. Lahir : .................................................................................................................................
Untuk menjadi siswa kelas : ..................... ( ..................... )
PAUD Terpadu (KB1 - KB2, TK-A, TK-B, SD-kelas awal)SMP, SMA (full day - boarding)Jalan Raya Parpostel, Jati Asih, Bekasi - Jawa Barat
6
g. Penyakit yang diderita
............................................................................... umur .................................
............................................................................... umur .................................
............................................................................... umur .................................
h. Jenis-jenis operasi yang pernah dialami
............................................................................... tanggal .............................
............................................................................... tanggal .............................
i. Perawatan di rumah sakit karena penyakit
............................................................................... tanggal ............................. s/d .................................
............................................................................... tanggal ............................. s/d .................................
............................................................................... tanggal ............................. s/d .................................
Diisi dengan sebenarnya di .............................. pada tanggal .............................
Orang Tua/ Wali Calon Siswa
__________________________
PAUD Terpadu (KB1 - KB2, TK-A, TK-B, SD-kelas awal)SMP, SMA (full day - boarding)Jalan Raya Parpostel, Jati Asih, Bekasi - Jawa Barat