Biodata Siswa [PDF]

DAFTAR ISIAN BIODATA SISWA SMA NEGERI 23 JAKARTA DATA SISWA 1. Nama Lengkap

: .........................................

18 0 104 KB

Report DMCA / Copyright

DOWNLOAD FILE

Biodata Siswa

0 0 161 KB Read more

Biodata Siswa Kelas X

0 0 87 KB Read more

Contoh Tugas Biodata Siswa

0 0 49 KB Read more

Biodata Siswa Kelas Vii

1 0 262 KB Read more

Lampiran Biodata Siswa

0 0 58 KB Read more

Biodata Siswa Prestasi

0 0 33 KB Read more

Biodata Siswa Kelas 6

0 0 248 KB Read more

Biodata Peserta Lomba - Siswa

0 0 25 KB Read more

Form Biodata Siswa (V) PDF

3 0 439 KB Read more

Format Biodata Siswa-Siswi 2019

2 0 85 KB Read more

File loading please wait...

Citation preview

DAFTAR ISIAN BIODATA SISWA SMA NEGERI 23 JAKARTA DATA SISWA 1. Nama Lengkap

: ..................................................................................................

2. Nama Panggilan

: ..................................................................................................

3. Nomor Induk Siswa Nasional (NISN)

: ..................................................................................................

4. Tempat Lahir

: ..................................................................................................

5. Tanggal Lahir

(dd/mm/yyyy)

: ....................../ .............................. /.........................................

6. Jenis Kelamin

: Pria / Wanita *)

7. Agama

: ..................................................................................................

8. Status Diri

: 1. Lengkap

2. Yatim

9. Status Perwalian

: 1. Asuh

2. Wali

10. Anak ke / Dari

: ................................. / ................................ bersaudara

11. Saudara Tiri / Saudara Angkat

: ................................. / ................................

12. Bahasa Ibu

: ..................................................................................................

13. Kewarganegaraan

: 1. WNI

14. Golongan Darah

: ..................................................................................................

3. Piatu.

4. Yatim Piatu *)

*)

2. WNA *)

ALAMAT SISWA 1. Alamat Rumah a. Nama Jalan

: .................................................................................................. : RT...........................RW...........................NO............................

b. Kelurahan

: ..................................................................................................

c. Kecamatan

: ..................................................................................................

d. Kotamadya / Kabupaten

: ..................................................................................................

e. Provinsi

: ..................................................................................................

f. Kode Pos

: ..................................................................................................

2. Telepon

: ..................................................................................................

3. Handphone

: ..................................................................................................

4. Alamat Surat Elektronik (E-Mail)

: ..................................................................................................

5. Tinggal Di

: ..................................................................................................

6. Jarak tempuh ke sekolah

: ...................................Km

7. Transportasi

: ..................................................................................................

DATA KELULUSAN / PENDIDIKAN SISWA 1. Nama SMP/MTs

: ..................................................................................................

2. Alamat SMP/MTs

: ..................................................................................................

3. Tahun Lulus SMP/MTs

: ..................................................................................................

4. No. Ijazah SMP/MTs

: ..................................................................................................

KETERANGAN KESEHATAN

1. Berat Badan

: ............................Kg

2. Tinggi Badan

: ............................Cm

3. Golongan darah

: ............................

4. Penyakit yang pernah diderita (TBC, Cacar, dll)

: .......................................................................................................

5. Tanda Khusus ( ciri – ciri )  Muka  Badan  Kaki / tangan

: ....................................................................................................... : ....................................................................................................... : .......................................................................................................

KETERANGAN INTELEGENSI DAN KEGEMARAN :

1. Intelegensi ( IQ )

: ...................................................................................................... ( berdasarkan tes tanggal ......................................................... )

2. Aspek Kepribadian NO.

ASPEK YANG DINILAI

1.

Disiplin / Ketertiban

2.

Prakarsa / kreativitas

3.

Tanggung Jawab

4.

Penyesuaian

5.

Kemantapan Emosi

6.

Kerjasama

: ..................................................................................................... BAIK

CUKUP

KURANG

BAKAT KHUSUS DAN PRESTASI YANG MENONJOL :

a. Kesenian

: .................................................................................

b. Olah Raga

: .................................................................................

c. Kemasyarakatan (Organisasi )

: .................................................................................

d. Hasta Karya

: .................................................................................

e. Karya Tulis

: .................................................................................

f. Lain – lain

: .................................................................................

DATA ORANG TUA / WALI DATA AYAH KANDUNG / WALI

DATA IBU KANDUNG / WALI

1. Nama Lengkap

: ................................................

1. Nama Lengkap

: ................................................

2. Prefix (Contoh : Dr. H. Ir)

: ................................................

2. Prefix (Contoh : Dr. H. Ir)

: ................................................

3. Postfix

: ................................................

3.

4. Tempat Lahir

: ................................................

4. Tempat Lahir

: ................................................

5. Tanggal Lahir

: ................./............./..................

5. Tanggal Lahir

: ............../.............../...................

6. Anak

: .......................................orang

6. Anak

: .......................................orang

7. Pendidikan Terakhir

: ................................................

7. Pendidikan Terakhir

: ................................................

8. Kewarganegaraan

: ................................................

8. Kewarganegaraan

: ................................................

9. Bahasa Ibu

: ................................................

9. Bahasa Ibu

: ................................................

10. Agama

: ................................................

10. Agama

: ................................................

11. Pekerjaan

: ................................................

11. Pekerjaan

: ................................................

12. Tingkat/Jabatan Manajerial

: ................................................

12. Tingkat/Jabatan Manajerial

: ................................................

13. Penghasilan

: ....................................../ bulan

13. Penghasilan

: ....................................../ bulan

(Contoh : SH, MA, MBA)

Postfix

(Contoh : SH, MA, MBA)

ALAMAT AYAH KANDUNG / WALI 1.

Alamat Rumah

: ................................................

: ................................................

ALAMAT IBU KANDUNG / WALI 1. Alamat Rumah

: ................................................

: ................................................

: ................................................

: ................................................

: ................................................

2.

Provinsi

: ................................................

2. Provinsi

: ................................................

3.

Kotamadya/Kabupaten

: ................................................

3. Kotamadya/Kabupaten

: ................................................

4.

Kecamatan

: ................................................

4. Kecamatan

: ................................................

5.

Kelurahan

: ................................................

5. Kelurahan

: ................................................

6.

Kode Pos

: ................................................

6. Kode Pos

: ................................................

7.

Telepon

: ................................................

7. Telepon

: ................................................

8.

Handphone

: ................................................

8. Handphone

: ................................................

9.

Alamat Email

: ................................................

9. Alamat Email

: ................................................

Cek bila ya : ......... / .............. / ............

Telah Meninggal Dunia Tanggal Meninggal

Cek bila ya : ......... / .............. / ............

Telah Meninggal Dunia Tanggal Meninggal

Jakarta, ...................................... Mengetahui,

Tanda Tangan Siswa

Orang tua / Wali Siswa

...................................................... Nama Jelas

*) Coret Yang Tidak Perlu / Pilih Salah satu

..................................................... Nama Jelas