Application for New Admission

GMIS Semarang

Application

Student data

First name:

Last name:

Gender:

Birth:

Permanent residence

Street:

City:

Post code:

Parents

Preferred contact:

Father

First name:

Last name:

Email:

Mobile phone:

Mother

First name:

Last name:

Email:

Mobile phone:

Other data

Year of Admission/Tahun Ajaran:

Seeking admission in / Kelas:

Present Grade of study:

Attend Trial Class ?:

Campus Visit/Kunjungan Sekolah:

Approval

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Note

If you want to leave us a message beyond the data you have entered so far.

Note:

Place

Date

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