LOVELY BEE SCHOOL
ENGLISH COURSE, PLAYGROUP, and KINDERGARTEN
JL. BROMO No. 4A – MALANG
Telp. 0877 – 5577 - 8597
Registration No. : …………………………….
Tahun Ajaran :
Kelas :
Baby Bee
Smilling Bee
Funny Bee
Smart Bee
English Course
PG 1
PG 2
K1
K2
A
. Children Identity / Identitas Anak
Child's Name / Nama Anak :
Place & Date of Birth / TTL : Date of Birth :
Citizen / Kewarganegaaran :
Religion / Agama :
Sex / Jenis Kelamin :
Previous School / sekolah sebelumnya :
B. Parent's Identity
Father :
• Name / Nama :
• Address / Alamat :
• Phone No / No. Telp WA :
• Religion / Agama :
• Citizen / Kewarganegaraan :
• Occupation / Pekerjaan :
• Occupation Address / Alamat Kantor :
• Phone No / No. Telp Kantor :
Mother :
• Name / Nama :
• Address /Alamat :
• Phone No / No. Telpon :
• Religion / Agama :
• Citizen / Kewarganegaraan :
• Occupation / Pekerjaan :
• Occupation Address / Alamat Kantor :
• Phone No / No. Telp Kantor :
Malang …………………………………