Knowledge Link Intercultural School (KLIS)

Primary
Jl. Pintu 3 Sirkuit Sentul, Babakan Madang, Kadumangu, Bogor-Jawa Barat 16810
Ph: +62 877 8469 8952
www.klis.co.id
Secondary
K-Link Tower, 11th floor Jl. Gatot Subroto No 59 A South Jakarta 12950
Ph:+62 877 8469 8953

STUDENT'S REGISTRATION FORM


A. Student Admission
(*) Admission Number: Admission Date: (*) First Name: Last Name:
(*) Gender: (*) Date of Birth: (*) Religion:
Nationality: Mobile Number: Email: Blood Group:
Height: Weight: Home Address: Mailing Address:  
B. Parent Guardian Detail
Father Name: Father Phone: Father Occupation:
Mother Name: Mother Phone: Mother Occupation:
(*) If Guardian Is: (*) Guardian Name: Guardian Relation: (*) Guardian Phone:
Guardian Occupation: Guardian Email: Guardian Address:
Note: (*) Mandatory fields
Back