Deprecated: mysql_connect(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /home/specweb/public_html/sch-id/util/konek.php on line 9

Deprecated: Function ereg() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 5

Notice: Undefined index: SESSTAMUGURU in /home/specweb/public_html/sch-id/theme/tema_1/judul.php on line 17

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33

Deprecated: Function ereg_replace() is deprecated in /home/specweb/public_html/sch-id/theme/tema_1/templ.php on line 33
SMK Negeri 1 Cikarang Pusat

SMK Negeri 1 Cikarang Pusat

Unggul dalam Akademis dan Imtak

Pengumuman Unair

[LENGKAP]

Penerimaan Mahasiswa Baru Unair

[LENGKAP]

Pengumuman Sekolah

Format PPDB On Line

Oleh Admin 20-05-2012 05:47:44

 

 

 

 

 
PEMERINTAH KAB BEKASI

SMK NEGERI 1 CIKARANG PUSAT

http://smkn1-ckr.sch-id.net

 

FORMULIR PENDAFTARAN SMKN 1 CIKARANG PUSAT PENERIMAAN SISWA BARU ON LINE TAHUN PELAJARAN 2012/2013

 

                                                                             A. IDENTITAS SEKOLAH ASAL                                                                              

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
1. Sekolah Asal                    :

2. Alamat Sekolah                :

3. Nisn                                  :

4. No. Peserta UN                :

5. No.Seri Ijazah                   :

6. Nomor Seri SKHUN           :

 

7. Tulislah data-data nilai untuk setiap mata pelajaran yang diminta sesuai dengan dokumen SKHUN !

 

Bahasa Indonesia            :

,

 

Jumlah Total Nilai SKHUN    :

 

,

Bahasa Inggris                  :

,

 

Matematika                       :

,

IPA                                    :

,

 

                                                                                   A. IDENTITAS PRIBADI                                                                                   

 

1. Nama Siswa

Nama Lengkap                  :

 

Nama Panggilan               :

 

 

 

 

 

 

 

 
2. Jenis Kelamin*)                 :            Pria                   Wanita       *) beri tanda (x) yang sesuai

 

3. Usia

:

Tahun

 

4. Tempat / Tanggal Lahir

:

 

/

 

 

-

 

-

(hari/bulan/tahun)

5. Alamat Rumah

: Jl/Kp:

 

 

 

 

Rt.

 

Rw.

 

 

Kel/Desa:


Kec:

 

 

 

6. No.Hp / Telepon               :


 

Kab.                                                                                  Prov:

 

 

 

 

 

 

 

 

 
                                                                                   C. WALI /ORANG TUA                                                                                    

 

1. Nama Lengkap

:

 

 

3. Usia

:

Tahun

4. Tempat / Tanggal Lahir

:

 

/

 

 

-

 

-

(hari/bulan/tahun)

5. Alamat Rumah

: Jl/Kp:

 

 

 

 

Rt.

 

Rw.

 

 

Kel/Desa:

 

Kab.


Kec:

 

Prov:

 

 

6. Pekerjaan                         :          Pegawai Negeri              Wiraswasta                                Nelayan TNI/POLRI                                       Petani                                         Lainnya ...... Karyawan swasta                            Pedagang                           Sebutkan

7. Pendidan Terakhir            :          TK / RA                          MA / SMA/ SMK                          Master (S2) SR / SD / MI                                       DIPLOMA (D1/D2/D3)                 Doktor (S3) MTs / SMP                                       Sarjana (S1)

8. Keberadaan OrangTua /            Masih Hidup                   Sudah Meninggal

Wali murid

9. No.Hp / Telepon               :

 

                                                                       D. PILIHAN JURUSAN YANG DIMINATI                                                                       

 

1.    Bidang Keahlian               : TEKNOLOGI REKAYASA

 

Program Keahlian              :          Teknik Otomotif Kendaraan Ringan

 

:          Teknik Sepeda Motor

 

2.    Bidang Keahlian               : BISNIS MANAJEMEN

 

Program Keahlian              :          Administrasi Perkantoran

 

:          Akuntansi

 

 

Saya yang menyatakan bahwa data - data tersebut adalah benar.

 

 

Orang Tua / wali siswa


 

Bekasi, ............................................... 20

 

Siswa yang bersangkutan

 

 

 

 

 

 

 

(.....................................................)

Tandatangan & Nama Jelas


(.....................................................) Diterima oleh Tandatangan & Nama Jelas

 

 

 

 

 

(..........................................)

Tandatangan & Nama Jelas