Contoh Formulir Pendaftaran Santri baru

FORMULIR PENDAFTARAN

NO.......................................

A.LATAR BELAKANG SANTRI

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

            2.Nama panggialn          : .......................................................................................................

            3.Tempat/tgl,Lahir          : .......................................................................................................

            4.Jenis Kelamin             : Laki-laki/Perempuan *

            5.Anak Ke-                    : .......................................................................................................

            6.Pendidikan                 : .......................................................................................................

            7.Alamat Santri              : .......................................................................................................

            8.S u k u                       : .......................................................................................................

            9.Tinggal Bersama         : .......................................................................................................

            10.Hoby/Cita-cita           : .......................................................................................................

B.ORANG TUA SANTRI

            1.Nama Lengkap           - Ayah   :..........................................................................................

                                                - Ibu      : .........................................................................................

                                                -Wali     : .........................................................................................

            2.Tempat/tgl.Lahir          - Ayah   :..........................................................................................

                                                - Ibu      : .........................................................................................

                                                -Wali     : .........................................................................................

            3.Pendidikan Terakhir     - Ayah   :..........................................................................................

                                                - Ibu      : .........................................................................................

                                                -Wali     : .........................................................................................

            4.Pekerjaan                   - Ayah   :..........................................................................................

                                                - Ibu      : .........................................................................................

                                                -Wali     : .........................................................................................

            5.Alamat                       - Ayah   :..........................................................................................

                                                - Ibu      : .........................................................................................

                                                -Wali     : .........................................................................................

Catatan :

Pengisian formulir diisi dengan lengkap dan ditulis dengan rapi dan jelas

                                                                                         Makassar,..................................................

Mengetahui,                                                                            Orang Tua Santri

            Muh.Riswan Yusuf  

                  Ketua Unit                                                                               Nama Jelas