Edunav School Information System

Sekolah Islam Harapan Ibu Online Application Form

Please fill in correctly. Do the payment to Mandiri 1010015032210 an Harapan Ibu Pondok Pinang for registration fee. Registration Fee: 1. Toddler - Rp 350.000 2. Playgroup - Rp 350.000 3. Kindergarten - Rp 350.00 4. SD - Rp 600.000 5. SMP - Rp 350.000 6. SMA - Rp 350.000

Applying for Academic Year: *

Mendaftar untuk tahun ajaran:

Applying for Grade: *

Mendaftar untuk kelas:

Student's Information

Student's Name *

Nama Siswa

Nick Name

Nama Panggilan

Nationality *

Kewarganegaraan

NISN

Nomor Induk Siswa Nasional

Surel Siswa

Gender *

Jenis Kelamin

Religion *

Agama

Place of Birth *

Tempat Lahir

Date of Birth *

Tanggal Lahir

Weight

Berat Badan (Kg)

Height

Tinggi Badan (cm)

Blood Type

Golongan Darah

Health Issues (if any)

Masalah Kesehatan

Sibling Order *

Anak ke-

Number of Siblings *

Jumlah Saudara (tidak termasuk Siswa)

Who do the student live with? *

Siswa tinggal dengan siapa?

Address

Alamat

Located in Indonesia

Street Address *

Alamat Jalan

Phone Number

No. Telp Siswa

City *

Kota

Province/State *

Provinsi/Neg. Bagian

Country *

Negara

Postal Code

Kode Pos

Education's Information

Current School's Name *

Nama Sekolah Sekarang

School's Street Address *

Alamat Jalan Sekolah

Current Grade *

Kelas Sekarang

School Address

Alamat Sekolah

Located in Indonesia

School's City *

Kota

School's Province/State

Provinsi/Neg. Bagian

School's Country *

Negara

School's Postal Code

Kode Pos Sekolah

Parent/Guardian's Information

Father's Name *

Nama Ayah Siswa

Father's Date of Birth

Tanggal Lahir Ayah Siswa

Father's Nationality *

Kewarganegaraan Ayah

Father's Email *

Surel Ayah Siswa

Father's Phone Number *

No. Telp Ayah Siswa

Father's WhatsApp Number

No. WhatsApp Ayah Siswa

Same with Phone Number

Father's Education Background

Pendidikan Terakhir Ayah Siswa

Father's Occupation *

Pekerjaan Ayah Siswa

Father's Company or Institution

Perusahaan atau Institusi Ayah Siswa

Father's Position in Company

Jabatan Ayah Siswa

Father's Salary *

Gaji Ayah Siswa

Father's Office Address

Alamat Kantor Ayah Siswa

Father's Office Phone

No. Telp Kantor Ayah Siswa

Family Card/ITAS/SKTT

No. Kartu Keluarga/ITAS/SKTT

Mother's Name *

Nama Ibu Siswa

Mother's Date of Birth

Tanggal Lahir Ibu Siswa

Mother's Nationality *

Kewarganegaraan Ibu

Mother's Email *

Surel Ibu Siswa

Mother's Phone Number *

No. Telp Ibu Siswa

Mother's WhatsApp Number

No. WhatsApp Ibu Siswa

Same with Phone Number

Mother's Education Background

Pendidikan Terakhir Ibu Siswa

Mother's Occupation

Pekerjaan Ibu Siswa

Mother's Company or Institution

Perusahaan atau Institusi Ibu Siswa

Mother's Position in Company

Jabatan Ibu Siswa

Mother's Salary

Gaji Ibu Siswa

Mother's Office Address

Alamat Kantor Ibu Siswa

Mother's Office Phone

No. Telp Kantor Ibu Siswa

Additional Information

Does the student have sibling(s) studying in Sekolah Islam Harapan Ibu? *

Apakah mempunyai saudara di sekolah?

How did you get information about Sekolah Islam Harapan Ibu? *

Bagaimana mendapatkan informasi mengenai Sekolah Islam Harapan Ibu?

What is your reason for enrolling your child at Sekolah Islam Harapan Ibu? *

Apakah alasan Anda menyekolahkan putra/putri Anda di Sekolah Islam Harapan Ibu?

Sekolah Islam Harapan Ibu Online Application Form

Student's Information

Education's Information

Parent/Guardian's Information

Documents

Additional Information