JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Formulir Pendaftaran Calon Siswa Baru SMPIT Abu Bakar Fullday School (Semaki)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Jalan Semaki No.1 Umbulharjo, Yogyakarta 55166
DATA PESERTA
Nama Peserta
*
Your answer
Tempat Lahir
*
Your answer
Tanggal Lahir
*
MM
/
DD
/
YYYY
Asal SD
*
Your answer
Alamat Tempat Tinggal
*
Your answer
NIK
*
Your answer
Nomor KK
*
Your answer
Nomor WhatsApp/ HP
*
Your answer
Sumber Informasi Pendaftaran
*
Instagram
Facebook
Youtube
Google Pencarian
Baliho/ Iklan
Kerabat/ Saudara
Teman/ Relasi
Lain-lain
Required
DATA IBU
Nama Lengkap Ibu
*
Your answer
Pekerjaan Ibu
*
Your answer
Nomor WhatsApp/ HP
*
Your answer
Penghasilan Ibu
*
0-2 juta rupiah
2-5 juta rupiah
5-10 juta rupiah
di atas 10 juta rupiah
Pendidikan Terakhir Ibu
*
Your answer
DATA AYAH
Nama Lengkap Ayah
*
Your answer
Pekerjaan Ayah
*
Your answer
Nomor WhatsApp/ HP
*
Your answer
Penghasilan Ayah
*
0-2 juta rupiah
2-5 juta rupiah
5-10 juta rupiah
di atas 10 juta rupiah
Pendidikan Terakhir Ayah
*
Your answer
PERNYATAAN KESANGGUPAN
Saya sudah membaca tata tertib sekolah di link:
https://drive.google.com/file/d/1Ltoq4AfAMqkPvJ2ApErwLd_C05WW5zY5/view?usp=sharing
*
Siap menaati tata tertib sekolah
Tidak siap
Required
Saya sudah membaca panduan PSB di link:
https://drive.google.com/file/d/1Ltoq4AfAMqkPvJ2ApErwLd_C05WW5zY5/view?usp=sharing
*
Ya, saya setuju
Tidak setuju
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of SIT Mulia.
Report Abuse
Forms
