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بِسْمِ اللَّهِ الرَّحْمَنِ الرَّحِيمِ
Formulir Pendaftaran Calon Peserta Didik RA Al Huda 2027/2028
"Hallo Ayah Bunda yuk bergabung menjadi keluarga besar Al Huda, bersama kita cetak generasi yang Rabbani"
What is your name? (Kid)
*
What is your Nickname?
*
Gender
*
Male
Female
Place of Birth
*
Date of Birth
*
NIK
*
No. KK
*
Number of Siblings
*
Height
*
Weight
*
What Group Did You Join
*
Grade A
Grade B
Children With Special Needs?
*
Medical Document Attachment
Click to choose a file or drag here
Size limit: 10 MB
Tell us about your child
*
Tell us about your child's talents, strengths and best qualities
*
Tell us about your child flaws / weaknesses
*
The reason you selected our school
*
Parents Information (Father)
What is your name?
*
Place Of Birth
*
Date Of Birth
*
NIK
*
Religion
*
Occupation
*
Company Name
*
Monthly Income
*
A
Rp. 0 - 4 juta
B
Rp. 4 juta - 8 juta
C
Rp. 8 juta - 15 juta
D
Rp. 15 juta - 25 juta
E
Diatas Rp. 25 juta
Last Education
*
A
< SLTA / Sederajat
B
D1 - D4 / Sederajat
C
S1 / Sederajat
D
S2 / Sederajat
E
S3
Phone Number
*
Email
*
Domisili
*
Address
*
Post Code
*
Parents Information (Mother)
What is your name ?
*
Place of Birth
*
Date of Birth
*
NIK
*
Religion
*
Occupation
*
Company Name
*
Monthly Income
*
A
Rp. 0 - 4 juta
B
Rp. 4 juta - 8 juta
C
Rp. 8 juta - 15 juta
D
Rp. 15 juta - 25 juta
E
Diatas Rp. 25 juta
Last Education
*
A
< SLTA / Sederajat
B
D1 - D4 / Sederajat
C
S1 / Sederajat
D
S2 / Sederajat
E
S3
Phone Number
*
Email
*
Domisili
*
Address
*
Post Code
*
Other Information
Emergency Contact Name
*
Emergency Contact Number
*
Relationship
*
How did you find out about us?
*
Instagram
Friend
Our Teacher
Family
Brochure / Pamphlet
Other
Upload Bukti Transfer
*
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Size limit: 10 MB
Upload Scan Akte Kelahiran
*
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Size limit: 10 MB
Upload scan Kartu Keluarga
*
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Size limit: 10 MB
Upload scan KTP Ayah
*
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Size limit: 10 MB
Upload scan KTP Ibu
*
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Size limit: 10 MB
Upload foto keluarga uk 3R
*
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Size limit: 10 MB
Upload pas foto Ananda 3x4
*
Click to choose a file or drag here
Size limit: 10 MB
Signature Parent
*
Signature
Submit
