FORMAT Biodata Untuk Wali Kelas [PDF]

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BIODATA SISWA X MIPA 4 TAHUN PELAJARAN 2018-2019 1. KETERANGAN PRIBADI



a. Nama Peserta didik : ............................................................................................................................................ b. No Induk : ............................................................................................................................................ c. Jenis Kelamin : ............................................................................................................................................ d. NISN : ........................................................................................................................................... e. Tempat, tanggal Lahir : ............................................................................................................................................ f. Agama : ........................................................................................................................................... g. Anak ke: ............................................................................................................................................ h. Jumlah Saudara Kandung : ............................................................................................................................................ 2. KETERANGAN TEMPAT TINGGAL



a. Kampung : .....................................................................................RT:............. b. Desa : ...........................................Kecamatan : .......................................Kabupaten............................................ c. Tinggal Bersama : ............................................................................................................................................



RW :.........



3. KETERANGAN KESEHATAN



a. Berat Badan : ............................................................................................................................................ b. Tinggi Badan : ............................................................................................................................................ c. Golongan Darah : ............................................................................................................................................ d. Penyakit yang Pernah Diderita : ............................................................................................................................................ 4. KETERANGAN PENDIDIKAN SEBELUMNYA



a. Asal Sekolah a) SLTP/MTS : ............................................................................................................................................ b) Tanggal dan No STTB : ............................................................................................................................................ c) Diterima di Sekolah : ............................................................................................................................................ b. Pindahan dari Sekolah. a) SLTP/MTS : ............................................................................................................................................ b) Diterima Tanggal : ............................................................................................................................................ c) Di Kelas : ............................................................................................................................................ d) Alasan Pindah Sekolah : ............................................................................................................................................ 5. KETERANGAN a. Hobby : ............................................................................................................................................ b. Cita-cita : ............................................................................................................................................ c. No HP aktif : ............................................................................................................................................ d. E-mail : ............................................................................................................................................ e. FB : ............................................................................................................................................ f. Uang jajan per hari : ............................................................................................................................................ g. Jurusan yang diminati : ............................................................................................................................................ 6. KETERANGAN ORANG TUA



a. Nama Ayah Kandung : ............................................................................................................................................ b. Nama Ibu Kandung : ............................................................................................................................................ c. Alamat a) Kampung : .................................................................................RT :............... b) Desa : ...........................................Kecamatan : ..................................Kabupaten.............................. c) No Telepon : ............................................................................................................................................



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



RW



d. Pekerjaan Ayah : ............................................................................................................................................ Pekerjaan Ibu : ............................................................................................................................................ e. Penghasilan Ayah : ............................................................................................................................................ Penghasilan Ibu : ............................................................................................................................................ f. Pendidikan Tertinggi Ayah : ............................................................................................................................................ Pendidikan Tertinggi Ibu :..................................... ....................................................................................................... 7. KETERANGAN WALI



a. Nama Wali : ............................................................................................................................................ b. Alamat a) Kampung : .................................................................................RT :............. RW :............... b) Desa : ...........................................Kecamatan : ..................................Kabupaten.............................. c) No Telepon ............................................................................................................................................ c. Pekerjaan Wali : ............................................................................................................................................