YAYASAN NUR ARROHMAH

RAUDLATUL ATHFAL ( RA ) NUR ARROHMAH

Dusun Krajan RT 15 RW 04, Bandungrejo-Bantur- Malang Kode Pos 65179
NSM : 101235070439 NPSN : 70026398 Email : ynabandungrejo@gmail.com

FORMULIR PENDAFTARAN SISWA /SISWI TAHUN AJARAN 2023-2024

A. KETERANGAN TENTANG IDENTITAS ANAK

1.NAMA ANAK DIDIK

A. NAMA LENGKAP : ............................................................................

B .NAMA PANGGILAN : ............................................................................

2.JENIS KELAMIN : ...........................................................................

3. TEMPAT /TGL LAHIR : ...........................................................................

4.ANAK KE : ...........................................................................

5. HOBI : ...........................................................................

6. CITA CITA : ...........................................................................

B. KETERANGAN TENTANG ORANG TUA/WALI

1.NAMA AYAH : ...............................................................................

TEMPAT /TGL LAHIR : ..............................................................................

2.NAMA IBU : ..............................................................................

TEMPAT /TGL LAHIR : .............................................................................

NO TELPON : ...... ......................................................................

Malang,...... Mei 2023

Mengetahui
Wali Murid Kepala RA Nur Arrohmah

................................ Latifa Insaf Maulida S.E