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Formulir Pendaftaran SMA Lazuardi GCS
Assalamualaikum Warahmatullahi Wabarakatuh.
Terima kasih telah memilih SMA Lazuardi GCS untuk Ananda bersekolah di jenjang SMA. Silakan Bapak dan Ibu melengkapi Formulir Pendaftaran berikut untuk kemudian kami jadwalkan sesi wawancara.
Terima kasih.
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* Indicates required question
Pilihan Program
*
Reguler
Asrama
Blended Learning
Nama Calon Siswa
*
Your answer
Nomor Telpon Calon Siswa
*
Your answer
Asal Sekolah
*
Your answer
Tempat & Tanggal Lahir
*
MM
/
DD
/
YYYY
Alamat Tinggal
*
Your answer
Nama Ayah
*
Your answer
Pekerjaan Ayah
*
Your answer
Nomor WA Aktif Ayah
*
Your answer
Nama Ibu
*
Your answer
Pekerjaan Ibu
*
Your answer
Nomor WA Aktif Ibu
*
Your answer
Alamat Orang Tua
*
Your answer
Apakah ananda merupakan siswa berkebutuhan khusus?
*
Ya
Bukan
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