JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Formulir Pembuatan KIA
Sign in to Google
to save your progress.
Learn more
* Indicates required question
NIK anak
*
Your answer
No. Akta Kelahiran
*
Your answer
Nama Anak
*
Your answer
Tempat Tanggal Lahir
*
Your answer
Nama Ayah
*
Your answer
Nama Ibu
*
Your answer
Alamat Anak
*
Your answer
Nama Sekolah
*
Your answer
No Wa Orang Tua Anak
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
