PENDAFTARAN SISWA BARU YAYASAN AL-AZHAR MANDIRI PALU 2024-2025
FORMULIR
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Nama Siswa (Sesuai Akte)
*
Tempat Lahir
*
Tanggal Lahir
*
Agama
*
Islam
Kristen Katolik
Kristen Protestan
Hindu
Konghucu
Buddha
Asal sekolah
*
Nama Ayah
*
No. WA Ayah
*
Pekerjaan Ayah
*
Nama Ibu
*
No. WA ibu
*
Pekerjaan Ibu
*
Alamat
*
File Upload
*
Click or drag a file to this area to upload.
Pasfoto terbaru (latar merah / biru, seragam sekolah)
File Upload KK
*
Click or drag a file to this area to upload.
File Upload akte lahir anak
*
Click or drag a file to this area to upload.
KIRIM
