registrationform20272028 – Damar Bali School

Student Information

Full Name *

Nickname *

Gender *

Place of Birth *

Date of Birth *

Stay With *

Birth Order *

Sibling/s *

Religion *

Country of Origin *

Daily Language *

Preferred Language *

What type of school do you plan to enroll in after graduating from Damar Bali School? *Choose One

Transportation Mode *

Allergic Record *

ID Card Number *

Birth Certificate Number *

Family Card Number *

Father's Name *

Mother's Name *

E-mail Address *

Mobile Number *

Father's Job *

Mother's Job *

NIK / Passport Number *

Residential Address *

Reminder:

Consent *

STATEMENT

All the data we have provided is accurate and has been validated, and it can be used and accounted for in the Dapodik database and other related matters.
If, in the future, any errors are found in the data submitted on this form, we take full responsibility for the consequences of these errors and will not hold anyone else accountable.
We grant the right to use this data to the Dapodik Data Operator/School for necessary purposes.
Additional information may be requested during the approval process.
Please print, review, and sign the terms and conditions provided at the link below.

Yes, I agree with the terms and conditions.