Pendaftaran

FORMULIR PENDAFTARAN

CALON SANTRI BARU PONPES ROUDLOTUL QUR’AN

I. BIODATA CALON SANTRI

1. Nama                                             : ................................................................

2. Tempat / Tanggal Lahir                    : ................................................................

3. Jenis Kelamin                                  : ................................................................

4. Alamat Rumah                                : ................................................................

5.Asal / Tempat pernah mengaji            : ......................................................

6. Alamat                                           : ................................................................



II. BIODATA ORANG TUA / WALI SISWA

1. Nama

    a. Bapak                                          : ................................................................

    b. Ibu                                              : ................................................................

2. Pekerjaan                                         : ................................................................

3. Alamat                                             : ...............................................................

4. No telp / HP                                     : ................................................................

                                                                                MENGETAHUI CALON SANTRI



 

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