TK MUTIARA SUNNAH
Jln Terusan Mergan Raya 61 42 RT 10 RW 11 Tanjungrejo Sukun Malang telp 0852 590 366 80
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FORMULIR
PENDAFTARAN
A. Siswa
1.
Nama Lengkap :.......................................................................................................
2.
Nama Panggilan :.......................................................................................................
3. Tempat
Tgl Lahir :........................................................................................................
4.
Alamat :.......................................................................................................
B Orang Tua / Wali Siswa
1. Nama
Orang Tua / Wali :........................................................................................................
2.
Pekerjaan :.......................................................................................................
3.
Pendidikan Terakhir :.........................................................................................................
4.
Alamat :.......................................................................................................
5. Nomor
HP :........................................................................................................
C. Pilihan SPP Per Bulan ( lingkari yang dipilih)
a. Rp 50.000 b. Rp. 70.000 c. Rp. 100.000
a. Rp 50.000 b. Rp. 70.000 c. Rp. 100.000
D. Data Penunjang
Berilah tanda √ pada kotak
1. Sifat
Pemberani
Pemalu
Periang
Pendiam
Pemarah
2. Hobby
Olah raga
Menggambar
Makan
Nonton TV / game
3. Harapan orang tua
........................................................................................................................................................................................................................................................................................................................................................
Malang,
..................................
Orang tua / Wali murid
. (............................)
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