SURAT PERMOHONAN PINDAH SEKOLAH

Yang bertanda tangan di bawah ini :

Nama : ...............................................................................................................
Alamat : ...............................................................................................................
Pekerjaan : ...............................................................................................................

Selaku orang tua / wali siswa :

Nama : ...............................................................................................................
Jenis Kelamin : ...............................................................................................................
No. Induk Siswa : ...............................................................................................................
NISN : ...............................................................................................................
Kelas : ...............................................................................................................
Tempat, Tgl. Lahir : ...............................................................................................................
Alamat : ...............................................................................................................
...............................................................................................................
Mengajukan permohonan pindah sekolah/madrasah dari MTsN 2 Bandung Barat ke
SMP/MTs........................................................................................................................
Dengan Alasan :
......................................................................................................................................................
......................................................................................................................................................
......................................................................................................................................................
Demikian surat permohonan ini saya buat, atas segala bantuan dan perhatiannya saya
ucapkan terima kasih, dan mohon Bapak / Ibu memakluminya.

Cililin, ............................................

Orang tua / Wali

........................................................