Application For Admission

Current Grade (*) :

A. Student Personal Details

Family Name * :

Given Name * :

Date of Birth * :

Date of Birth * : :: YYYY/MM/DD

Place of Birth * :

Gender * :

Male
Female

Nationality * :

Religion * :

Applying for Grade * :

Current School * :

Email :

Child's Language Skills * :

Language * :

English
Bahasa Indonesia
Others

Other

Indonesian Residence Information

Address * :

Phone * :

Home Country Residence Information (Recommended)

Address :

Phone :

Number of Sibling(s) :

B. Family Background

Father Name * :

Father's Nationality :

Mother's Name :

Mother's Nationality :

Address :

Phone (*) :

Email :

DECLARATION

I understand that the school reserves the right to vary or reverse any decision regarding admission made on the basis of incorrect information. I declare that the information on this application form is true and correct. False, inaccurate or misleading information could lead to my child’s withdrawal from school.

Read School's Policy & Rules...

Hereby, I agree and approve all of the school’s policy and rules

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