Info Pendaftaran / Registration Information

Jenis Pendaftaran / Type of Registration: *

Sekolah / School: *

Jenjang / Level of Education: *

NISN / NISN:

Asal Sekolah / Previous School Attended:

NPSN Asal Sekolah / NPSN of Previous School:

Status Asal Sekolah / Status of Previous School:

Tahun Lulus / Year Graduated:

Data Calon Siswa / Prospective Student Information

Nama Lengkap / Full Name: *

Jenis Kelamin / Gender: *

Tempat Lahir / Place of Birth: *

Tanggal Lahir / Date of Birth: *

Alamat / Address: *

RT / RT: *

RW / RW: *

Provinsi / Province: *

Kota / City: *

Kecamatan / District: *

Kelurahan / Village: *

Kode Pos / Postal Code: *

Email Aktif / Current Email: *

* Email salah satu orang tua untuk menerima notifikasi dan informasi akun

No. HP Aktif / Phone Number: *

NIK Calon Siswa / Student National Identity Number: *

No. KK / Family Registration Number:

Anak Ke / Children Number: *

Jumlah Saudara Kandung / Number of Sibling(s): *

Status Dalam Keluarga / Status in Family: *

Jarak Rumah ke Sekolah / Distance From Home to School: *

KM

Transportasi / Transportation: *

Tinggi Badan / Height: *

CM

Berat Badan / Weight: *

KG

Data Orang Tua atau Wali / Parent or Guardian Information

Nama Ayah / Father's Name: *

Tempat Lahir Ayah / Place of Birth: *

Tanggal Lahir Ayah / Date of Birth: *

Agama Ayah / Religion: *

Pendidikan Ayah / Educational Attainment: *

Pekerjaan Ayah / Occupation: *

Penghasilan Ayah / Income Range: *

No. HP Ayah / Phone Number: *

Email Ayah / Email: *

Alamat Ayah / Address: *

RT / RT: *

RW / RW: *

Provinsi / Province: *

Kota / City: *

Kecamatan / District: *

Kelurahan / Village: *

Kode Pos / Postal Code: *

Nama Ibu / Mother's Name: *

Tempat Lahir Ibu / Place of Birth: *

Tanggal Lahir Ibu / Date of Birth: *

Agama Ibu / Religion: *

Pendidikan Ibu / Educational Attainment: *

Pekerjaan Ibu / Occupation: *

Penghasilan Ibu / Income Range: *

No. HP Ibu / Phone Number: *

Email Ibu / Email: *

Alamat Ibu / Address: *

RT / RT: *

RW / RW: *

Provinsi / Province: *

Kota / City: *

Kecamatan / District: *

Kelurahan / Village: *

Kode Pos / Postal Code: *

Nama Wali / Guardian's Name:

Tempat Lahir Wali / Place of Birth:

Tanggal Lahir Wali / Date of Birth:

Agama Wali / Religion:

Pendidikan Wali / Educational Attainment:

Pekerjaan Wali / Occupation:

Penghasilan Wali / Income Range:

No. HP Wali / Phone Number:

Email Wali / Email:

Alamat Wali / Address:

RT / RT:

RW / RW:

Provinsi / Province:

Kota / City:

Kecamatan / District:

Kelurahan / Village:

Kode Pos / Postal Code:

Unggah Dokumen / Document Upload

KTP Ayah: *

Max file size: 2MB. Allowed file types: .jpg, .jpeg, .png, .pdf

KTP Ibu: *

Max file size: 2MB. Allowed file types: .jpg, .jpeg, .png, .pdf

Akta Lahir:

File can be empty.
Max file size: 2MB. Allowed file types: .jpg, .jpeg, .png, .pdf

Kartu Keluarga:

File can be empty.
Max file size: 2MB. Allowed file types: .jpg, .jpeg, .png, .pdf

Info Pembayaran / Payment Information

Silahkan pilih Biaya Pendaftaran di bawah ini dan transfer nominal sebesar yang tertera ke rekening Bank BCA a.n. Yay Sinar Putih Edelweiss Nomor Rekening : 7510828768
Please select the registration fee payment below and transfer the corresponding amount to the Bank BCA Account in the name of Yay Sinar Putih Edelweiss No. 7510828768

Biaya Pendaftaran - Nominal / Registration Fee - Amount: *

Upload Bukti Pembayaran / Upload Proof of Payment: *

Max file size: 2MB. Allowed file types: .jpg, .jpeg, .png, .pdf