Assalamualaikum warahmatullah wabarakaatuh. Selamat datang di Pondok Pabelan. Berikut adalah formulir Pendaftaran Santri Baru Online tahun ajaran 2024/2025.
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NISN
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NISN
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NIK
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NIK
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Masukkan 16 digit Nomor Induk Kependudukan ananda
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Nama
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Nama
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Tempat Lahir
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Tempat Lahir
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Tanggal Lahir
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Tanggal Lahir
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Jenis Kelamin
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Jenis Kelamin
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Laki-Laki
Perempuan
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Alamat Lengkap
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Alamat Lengkap
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Masuk Jenjang
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Masuk Jenjang
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1.
Wustha / MTs
2.
Takhasus
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Asal Sekolah
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Asal Sekolah
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(Contoh: SDN 43 Mataram, NTB)
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Berkebutuhan Khusus
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Berkebutuhan Khusus
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1.
Ya
2.
Tidak
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Bakat/Minat Ananda
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Bakat/Minat Ananda
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1.
Olahraga
2.
Kesenian
3.
Menghafal Al-Qur'an/ KItab lainnya
4.
Pramuka
5.
Pidato
6.
Lainnya
1.
Other…
7.
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Deskripsikan karakter
Ananda meliputi keunikan, kebiasaan, hobi, dan sebagainya secara singkat
*
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Deskripsikan karakter
Ananda meliputi keunikan, kebiasaan, hobi, dan sebagainya secara singkat
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Section 2 of 4
Section title (optional)
Data Orang Tua (Ayah)
Description (optional)
NIK
*
Question
NIK
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Masukkan 16 digit Nomor Induk Kependudukan ayah. Dapat diganti wali jika sudah almarhum.
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Nama
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Nama
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Tempat Lahir
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Tempat Lahir
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Tanggal Lahir
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Tanggal Lahir
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Pendidikan Terakhir
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Pendidikan Terakhir
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Pekerjaan
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Pekerjaan
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Agama
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Agama
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1.
Islam
2.
Kristen
3.
Katolik
4.
Hindu
5.
Budha
1.
Other…
6.
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add "Other"
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Nomor Handphone (Whatsapp)
*
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Nomor Handphone (Whatsapp)
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Nomor whatsapp digunakan jika sewaktu-waktu Pondok Pabelan butuh menghubungi pihak orangtua terkait informasi yang relevan
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Rata-Rata Penghasilan
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Rata-Rata Penghasilan
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1.
>Rp9.000.000
2.
>Rp5.000.000 - Rp9.000.000
3.
>Rp3.000.000 - Rp5.000.000
4.
>Rp 2000.000 - Rp3000.000
5.
>Rp1000.000 - Rp2.000.000
1.
Other…
6.
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Section 3 of 4
Section title (optional)
Data Ibu
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NIK
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NIK
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Isikan Nomor Induk Kependudukan Ibu Kandung (dapat diganti wali jika telah almarhum)
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Nama
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Nama
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Tempat Lahir
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Tempat Lahir
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Tanggal Lahir
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Tanggal Lahir
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Agama
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Agama
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1.
Islam
2.
Kristen
3.
Katolik
4.
Hindu
5.
Budha
1.
Other…
6.
Add option
or
add "Other"
…
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Section 4 of 4
Section title (optional)
Lampiran
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Isi lampiran sebagai dokumen pendukung pendaftaran calon santri
Akta Lahir
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Akta Lahir
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Kartu Keluarga
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Kartu Keluarga
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Pas Foto
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Pas Foto
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Bukti Lulus Sekolah Sebelumnya
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Bukti Lulus Sekolah Sebelumnya
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File bukti lulus sekolah dapat dikosongkan jika belum terbit dan disusulkan saat daftar ulang
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NISN
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NIK
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Nama
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Tempat Lahir
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Tanggal Lahir
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Jenis Kelamin
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Alamat Lengkap
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Masuk Jenjang
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Asal Sekolah
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Berkebutuhan Khusus
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Bakat/Minat Ananda
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Deskripsikan karakter
Ananda meliputi keunikan, kebiasaan, hobi, dan sebagainya secara singkat
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Data Orang Tua (Ayah)
NIK
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Nama
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Tempat Lahir
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Tanggal Lahir
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Pendidikan Terakhir
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Pekerjaan
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Agama
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Nomor Handphone (Whatsapp)
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Rata-Rata Penghasilan
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Data Ibu
NIK
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Nama
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Tempat Lahir
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Tanggal Lahir
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Agama
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Lampiran
Akta Lahir
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Kartu Keluarga
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Pas Foto
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Bukti Lulus Sekolah Sebelumnya
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Terima kasih telah mengisi form pendaftaran online, selanjutnya silahkan melakukan pembayaran melalui transfer ke Bank Mandiri 136-00-1990199-7 a.n Pondok Pesantren Pabelan (PSB) sebesar Rp200.000 dan mengirimkan bukti ke nomor Whatsapp 081312121144.