Official Registration Portal

Hilaris School Registration

Official registration form for new students.

School Location : *

Education Level *

Waktu Kelas *

Student's Name : *

Nickname : *

Gender : *

Place of Birth : *

Date of Birth *

Citizenship : *

Religion : *

Origin School (Name School) :

Health History

Surgery, Remarks :

Illness, Remarks :

Degerenatif Illness, Remarks :

Father's Name ( Nama Sesuai KTP ) : *

Phone Number : *

Parent's Occupation :

Mother's Name ( Nama Sesuai KTP ) : *

Phone Number : *

Parent's Occupation :

Address :

Other Family Member (Emergency Contact)

Name : *

Phone : *

Please fill in for all levels of education

SURAT KESEPAKATAN BERSAMA - ADMIN ORTU

Please fill in the attachment only for junior high and high school students

SURAT PERNYATAAN KESANGGUPAN MENYEDIAKAN MEDIA PEMBELAJARAN

Please download the attachments provided and upload the completed scans of the attachments in the upload data section.

Surat Kesepakatan :

Choose file or drag here

JPG, PNG or PDF (Max. 5MB)

Surat Kesanggupan :

Choose file or drag here

JPG, PNG or PDF (Max. 5MB)

Date Submission :

Parent's signature Notice payment can not be refund !

Sign inside the box

Bukti Pembayaran :

Choose file or drag here

JPG, PNG or PDF (Max. 5MB)

Akta lahir :

Choose file or drag here

JPG, PNG or PDF (Max. 5MB)

KTP Ayah :

Choose file or drag here

JPG, PNG or PDF (Max. 5MB)

KTP Ibu :

Choose file or drag here

JPG, PNG or PDF (Max. 5MB)

Kartu keluarga :

Choose file or drag here

JPG, PNG or PDF (Max. 5MB)

Rapot Terakhir :

Choose file or drag here

JPG, PNG or PDF (Max. 5MB)

Ijazah :

Choose file or drag here

JPG, PNG or PDF (Max. 5MB)

Secured Registration Gateway

HILARIS

Hilaris School Registration

Other Family Member (Emergency Contact)

SURAT KESEPAKATAN BERSAMA - ADMIN ORTU

SURAT PERNYATAAN KESANGGUPAN MENYEDIAKAN MEDIA PEMBELAJARAN