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CONTOH FORMULIR PENDAFTARAN SANTRI ATAU SISWA




    MADRASAH KULIYYATUL ISLAMY
Jonggrangan, Sumberadi, Mlati, Sleman, Yogyakarta.
                    Telepon. .......................................

FORMULIR PENDAFTARAN

Nomor Daftar : ............./DF.UA/........../...............( Diisi petugas)

A. BIODATA SISWA

            A1. Nama Lengkap                 : ................................................................                             
            A2. Tempat, tanggal Lahir      : .................................................................
            A3. Alamat                               : ..................................................................       

            A4. Jenis Kelamin                  : laki-laki / perempuan.*
            A5. Jenjang Pendidikan         : kelas………………………
            A6. Asal Sekolah                    : ...............................................                                                                                  
           
B. BIODATA WALI SISWA

            B1. Nama Ayah                                  : ................................................................
                        B11. Pekerjaan                       : ................................................................
                        B12. Tempat, Tanggal Lahir   : ................................................................
                        B13. Alamat                            : ................................................................
                                                                          ................................................................
                        B14. Nomor Telepon              : ................................................................

            B2. Nama Ibu                                      : ................................................................
                        B21.Pekerjaan                        : .................................................................
                        B22. Tempat, Tanggal Lahir   : .................................................................
                        B23. Alamat                            : .................................................................
                                                                          .................................................................
                        B24. Nomor Telepon              : .................................................................



                                                                                                            Sleman, ..................................                                                                                                                                                                                                 
                                                                                                            Wali Siswa,

                                                                                                            .................................................
*Coret yang tidak perlu.                 


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1 komentar:

Suka dengan blog MKI ini ? jangan lupa like beserta komentarnya di tunggu ya .... terima kasih.

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