Contoh Formulir Pendaftaran Siswa Baru

Formulir PPDB - Dalam menyambut tahun pelajaran baru, perlu disiapkan beberapa administrasi berkas pendaftaran peserta didik baru, salah satunya adalah formulir pendaftaran, berikut ini arsipkantor.com akan membagikan contohnya.

FORMULIR PENDAFTARAN SISWA BARU

Tahun Pelajaran : ..................... / .....................

A.        KETERANGAN SISWA

1.              Nama Lengkap                                                 :                                                                                                               

2.              Nama Panggilan                                              :                                                                                                               

3.              Jenis Kelamin                                                   :                                                                                                               

4.              Tempat, tanggal lahir                                    :                                                                                                               

5.              Agama                                                                 :                                                                                                               

6.              Kewarganegaraaan                                        :     WNI / WNA Keturunan *)

7.              Anak Nomor Ke                                               :                                                                                                               

8.              Jumlah Saudara Kandung                            :     .......................................... (dari satu Ibu)

9.              Jumlah Saudara Tiri                                        :                                                                                                               

10.          Jumlah Saudara Angkat                                :                                                                                                               

11.          Bahasa Sehari-hari                                         :                                                                                                               

12.          Berat Badan                                                      :     ........... Kg

13.          Tinggi Badan                                                     :     ........... cm

14.          Golongan Darah                                              :                                                                                                               

15.          Penyakit berat yang pernah diderita      :                                                                                                               

16.          Alamat Tempat Tinggal                                 :                                                                                                               

17.          Bertempat Tinggal Pada                               :     Orang tua  /  Menumpang  / Saudara

B.        ORANG TUA / WALI

18.          Nama Ayah Kandung                                    :                                                                                                               

             Nama Ibu Kandung                                        :                                                                                                               

19.          Pendidikan Tertinggi                                     :

             Ayah Kandung                                                 :                                                                                                               

             Ibu Kandung                                                     :                                                                                                               

20.          Pekerjaan                                                          :

             Ayah                                                                    :     PNS / TNI / Pegawai Swasta / Wiraswasta / Petani /

                                                                                                  Nelayan / ................................................

             Ibu                                                                        :                                                                                                               

21.          Nama Wali Siswa                                             :                                                                                                               

22.          Pendidikan Tertingi                                        :                                                                                                               

23.          Hubungan Terhadap Anak                          :                                                                                                               

24.          Pekerjaan                                                          :                                                                                                               

C.        ASAL MULA ANAK

25.          Masuk Sekolah ini Sebagai                          :     Siswa baru kelas I / Pindahan

26.          a.     Asal Anak                                                  :     Rumah Tangga / TK

b.     Nama Taman Kanak-kanak                :                                                                                                               

c.     Nomor / Tahun Surat Keterangan   :                                                                                                               

27.          Pindahan dari                                                   :

a.         Nama Sekolah                                        :                                                                                                               

b.         Tanggal                                                      :                                                                                                               

c.          Dari Kelas                                                 :                                                                                                               

28.          Diterima di Sekolah ini Tanggal                  :                                                                                                               

             Di Kelas                                                               :                                                                                                               

                            Diterima / ditolak                                                   ......................., ......................................

Alasan : ...................................................................                                  Orang tua / Wali

                              Kepala Sekolah                                                                                              

      ______________________________                              ______________________________

        NIP. 

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Imamuddin B