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Formulir Pendaftaran Santri Online 2026

Formulir Penerimaan Santri

Pondok Pesantren Al-Kautsar

Alamat: Godeg RT.07 RW.04, Gading, Krembung, Sidoarjo - Jawa Timur

Kontak Resmi: 085143884242

Sebelum melanjutkan pengisian Formulir, harap menyiapkan dokumen pendukung file Image/JPEG (maksimal ukuran file 512KB) dengan ketentuan berikut:

KTP Pendaftar/Orangtua
Kartu Keluarga
Akta Kelahiran
Bukti Transfer Pendaftaran

Transfer pembayaran Pendaftaran Santri Baru sebesar Rp 50.000 ke nomor Rekening berikut:

Mukhammad Zainuddin AF
BCA - 0183774783

Identitas Diri

Nama Lengkap

Wajib diisi

NISN

Wajib diisi

Tempat & Tanggal Lahir

Wajib diisi

Jenis Kelamin

Wajib diisi

Kontak & Alamat

No. WhatsApp

Wajib diisi

Email

Wajib diisi

Alamat Lengkap

Wajib diisi

Data Sekolah Asal

Nama Sekolah

Wajib diisi

Alamat Sekolah

Wajib diisi

Tahun Lulus

Wajib diisi

Data Orangtua

Nama Ayah

Wajib diisi

Nama Ibu

Wajib diisi

Pekerjaan

Wajib diisi

No. HP Orangtua

Wajib diisi

Alasan Masuk Pondok

Wajib diisi

Upload Dokumen

Upload file Image/JPEG maksimal ukuran file 512KB. Gunakan Tools Compress Image jika ukuran file melebihi ketentuan.

KTP

Wajib diisi

Kartu Keluarga

Wajib diisi

Akte Kelahiran

Wajib diisi

Bukti Transfer

Wajib diisi

Saya menyatakan data diatas benar dan dapat dipertanggungjawabkan

Harus dicentang

Support System by BeniSubianto.web.id

DraftPost Manager

Kelola Draft Post Penulis Tamu
Tanpa Pusing

DraftPost Manager

Author Box Otomatis

Hemat Waktu dan Efisien

Anti Bad-Words Otomatis

Bayar Pesanan

Daftar Belanja

Identitas Diri

Nama Lengkap

Email

No. WhatsApp (Aktif)

Alamat Lengkap Pengiriman

Pembayaran

Metode Pembayaran

Catatan: Total harga yang tertera belum termasuk Ongkos Kirim (Ongkir). Biaya pengiriman akan dihitung dan di-informasikan oleh Admin melalui WhatsApp.

Sub-Total: Rp 0

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