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بِسْمِ اللّٰهِ الرَّحْمٰنِ الرَّحِيْمِ
Formulir Pendaftaran Calon Siswa AIS
“Kami percaya setiap anak adalah cahaya. Tugas kami adalah menuntunnya agar bercahaya untuk dunia dan akhirat. Kami dengan bangga membuka penerimaan siswa baru Tahun Ajaran 2026/2027"
Class
*
Class
A
Regular
B
BEP
What is your name ? (Kid)
*
What is your Nickname ?
*
Upload Photo size 3x4
*
Click to choose a file or drag here
Size limit: 10 MB
Gender
*
Gender
A
Male
B
Female
Place of Birth ?
*
Date of Birth
*
Certificate of Birth ( Akte Kelahiran )
*
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Size limit: 10 MB
Children With Special Needs ?
*
Medical Document Attachment
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Size limit: 10 MB
NIK
*
Birth Order
*
Birth Order
A
Anak Pertama
B
Anak Kedua
C
Anak Ketiga
D
Anak Ke Empat
E
Anak Kelima
Number of Siblings
*
Height
*
Weight
*
Nationality
*
Ethnic
*
Previous School
*
NISN (diisi 0 jika belum memiliki)
*
Grade at Previous School
*
Parents Information (Father)
What is your name ?
*
Place of Birth
*
Date of Birth
*
NIK
*
KK
*
Scan KK
*
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Size limit: 10 MB
Occupation
*
Company Name
*
Monthly Income
*
Monthly Income
A
Rp. 0 juta - 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
*
Last Education
A
< SLTA / Sederajat
B
D1 - D4 / Sederajat
C
S1 / Sederajat
D
S2 / Sederajat
E
S3
Religion
*
Phone Number
*
Email
*
Domisili
*
Address
*
Post Code
*
Parents Information (Mother)
What is your name ?
*
Place of Birth
*
Date of Birth
*
NIK
*
Occupation
*
Company Name
Monthly Income
Monthly Income
A
Rp. 1 juta - 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
*
Last Education
A
< SLTA / Sederajat
B
D1 - D4 / Sederajat
C
S1 / Sederajat
D
S2 / Sederajat
E
S3
Religion
*
Phone Number
*
Email
*
Domisili
*
Address
*
Post Code
*
Other Information
Emergeny Contact Name
*
Emergency Contact Number
*
Relationship
*
How did you find out about us ?
*
How did you find out about us ?
Instagram
Friend
Our teacher
Family
Brochure / Pamphlet
Other
Bukti Transfer
*
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Size limit: 10 MB
Signature Parent
*
Signature
Please Rate Us
*
Please Rate Us
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2 stars
3 stars
4 stars
5 stars
Ucapan / Keluhan / Masukan
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