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Please fill in the necessary information and we will contact you to further initiate the registration process.
STUDENT INFORMATION
Please fill in the space bellow according to the child's birth certificate Mohon mengisi data sesuai dengan akte kelahiran anak
Full Name / Nama Lengkap
Date of Birth / Tanggal Lahir
1
2
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January
Februari
Maret
April
Mei
Juni
Juli
Agustus
September
Oktober
November
Desember
Place of Birth / Tempat Lahir
Previous School / Sekolah Sebelumnya
Intended Class / Kelas yang dituju
PG
TK
SD
SMP
SMA
Campus Location / Lokasi Kampus
EAST Campus
WEST Campus
PARENT / GUARDIAN INFORMATION
Full Name / Nama Lengkap
Address / Alamat
City / Kota
Province / Provinsi
Mobile Phone / Nomor Telepon
Email
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