ONLINE REGISTRATION Destination School Bandung Cirebon Medan EGS Information source / Cognitive pathway FamilyNeighborsFriendsetc. Email Program SD-Grade 1SD-Grade 2SD-Grade 3SD-Grade 4SD-Grade 5SD-Grade 6SMP-Grade 7SMP-Grade 8SMP-Grade 9SMA-Grade 10SMA-Grade 11SMA-Grade 12 Full Name Upload Photo 3x4 Nick Name Gender Male Female Place of Birth Date of Birth NISN (Nomor Induk Siswa Nasional) Citizenship Daily Language Religion Status Of Children Biological ChildrenStep ChildrenAdopted Children Child Number / Total Siblings Full Address Telephone RT/RW Postal Code Village Office (Kelurahan) District (Kecamatan) History of Disease Blood Type Achievement Origin of School City Origin of School Address School Name Origin of School Handphone Number FATHER Father's Name Place, Date of Birth Citizenship Daily Language Religion Full Address Telephone Number Handphone Number Degree Employment Business Fields Employment Position Income > 10.000.000/Month< 10.000.000/Month Office Telephone MOTHER Mother's Name Place, Date of Birth Citizenship Daily Language Religion Full Address Telephone Number Handphone Number Degree Employment Business Fields Employment Position Income > 10.000.000/Month< 10.000.000/Month Office Telephone GUARDIAN Guardian's Name Place, Date of Birth Citizenship Daily Language Religion Full Address Telephone Number Handphone Number Degree Employment Business Fields Employment Position Income > 10.000.000/Month< 10.000.000/Month Office Telephone Siblings Submit