LEMBAGA PENDIDIKAN MAARIF NU SALATIGA

RA MIFTAHUL JANNAH
Alamat: Nobotengah RT 03/07 kelurahan Noborejo Argomulyo Salatiga
INSTAGRAM: miftahuljannah.noborejo EMAIL: miftahuljannah.noborejo@gmail.com

FORMULIR PENDAFTARAN PESERTA DIDIK BARU

Identitas Peserta Didik

a. Nama Lengkap : ..........................................................................................................
b. NIK : ..........................................................................................................
c. Jenis Kelamin : ..........................................................................................................
d. Tempat & Tanggal Lahir : ..........................................................................................................
e. Anak Ke : ..........................................................................................................
f. Jumlah Saudara : ..........................................................................................................
g. Alamat Calon Siswa : ..........................................................................................................
h. Agama : ..........................................................................................................
i. Berat & Tinggi Badan : ..........................................................................................................

Identitas orang Tua/Wali

a. Nama Ayah : ..........................................................................................................
b. Tempat & Tanggal Lahir : ..........................................................................................................
c. Agama Ayah : ..........................................................................................................
d. Pekerjaan Ayah : ..........................................................................................................
e. Pendidikan Ayah : ..........................................................................................................
f. Nama Ibu : ..........................................................................................................
g. Tempat & Tanggal Lahir : ..........................................................................................................
h. Agama Ibu : ..........................................................................................................
i. Pekerjaan Ibu : ..........................................................................................................
j. Pendidikan Ibu : ..........................................................................................................

Syarat & Waktu Pendaftaran

1. Mengisi formulir Salatiga, ___________________
2. Fotocopy akta kelahiran
3. Buku KIA/KMS (jika punya)

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