BIODATA SISWA

KELAS XI IPA-6
TAHUN PELAJARAN 2016/2017

I. Identitas
Nama Siswa :..................................................................................................
No Hp :..................................................................................................
Nis/Nisn :..................................................................................................
Tempat Tanggal Lahir :..................................................................................................
Jenis Kelamin :...................................................................................................
Suku Bangsa :..................................................................... ...................... .....
Agama : ...................................................................................................
Alamat Siswa (Sekarang) :.................................................................................................
Cita-Cita : ....................................................................................................
Hobbi : ...................................................................................................

II. Gaya Belajar Cenderung (Pilih Salah Satu):

A. Mendengarkan B. Mengamati C. Melakukan Sendiri
Tahun Masuk Sekolah Ini : ...............................................................................................
a. Kelas :...............................................................................................................................
b. Jurusan: ............................................................................................................................
Status Tempat Tinggal : A. Rumah Orang Tua B. Keluarga C. Kost
Ke Sekolah : A. Naik Kendaraan Umum B. Membawa Kendaraan Sendiri C. Jalan Kaki
Nama Orang Tua : A. Ayah......................................... B. Ibu:..........................................
No Hp : A. Ayah...........................................B. Ibu ..........................................
Pekerjaan : A. Ayah: ........................................ B. Ibu...........................................
Alamat Orang Tua :...............................................................................................................
Nama Wali : .............................................................................................................
No Hp Wali : .............................................................................................................
Pekerjaan Wali : .............................................................................................................
Alamat Wali : .............................................................................................................
Hubungan Dengan Wali : ................................................................................................
Nama Saudara Yang Pernah Sekolah Di SMAN 2 Kendari
A...............................Jurusan ...................... ...........Tahun Tamat...........................................
B. ..............................Jurusan..................... .......... Tahun Tamat..........................................
C. ...............................Jurusan............................ Tahun Tamat ......................................