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MPUIN JAKARTA
Student Enrollment Form
PPDB Gelombang 1 - Tahun Ajaran 2026/2027 — Ditutup 30 April 2026
Siswa
Orang Tua
Learning
Documents
Informasi Siswa
Full Name
*
Email
Date of Birth
*
Gender
*
Pilih
Male
Female
Grade Level
*
Pilih
Nilai 1
Nilai 2
Nilai 3
Nilai 4
Nilai 5
Nilai 6
Nilai 7
Nilai 8
Nilai 9
Nilai 10
Nilai 11
Nilai 12
Address
Previous School
Telepon
Lanjut
Parent / Guardian Information
Full Name
*
Relationship
Father
Mother
Guardian
Email
*
Telepon
*
Address
Occupation
Kembali
Lanjut
Learning Preferences
Preferred Learning Schedule
Morning (07:00 - 12:00)
Afternoon (12:00 - 17:00)
Flexible
Learning Style
Visual
Auditory
Kinesthetic
Mixed
Special Needs / Accommodations
Goals & Expectations
Kembali
Lanjut
Documents (Optional)
Birth Certificate
PDF or image, max 2MB
Family Card (KK)
Student's Photo
Previous School Report Card
By submitting this form, you agree that the information provided is accurate and you consent to the school's terms and conditions.
Kembali
Submit Enrollment