This is the admission form for student intending to enter Bina Bangsa School.
Students must take tests in subject(s) such as Math and English.
The tests are mandatory to be taken and are conducted in the English language.
= Must be filled in correctly
= Optional
A. Student's Data
:
Name of student (as shown in passport)
First Name
Middle Name
Family Name / Surname
Chinese Name
Sex (Male / Female)
Place of Birth
Date of Birth
Nationality
Passport Number
STTB Number *) Enter Sec & JC
Email
Handphone Number
Choose One
Bandung - Resor Dago Pakar
Jakarta - Kebun Jeruk
Jakarta - Pantai Indah Kapuk
Malang - Jl. Malenggang
Semarang - Jangli Boulevard
Semarang - Jl. Diponegoro
Religion
Current / Last Level of School
Present / Last School Attended
Choice of BBS Location
Language(s) Spoken at Home:
Sibling(s)
Name:
Class:
School:
B. Parent's Data :
Father
Mother
Guardian
Full Name:
Home Address:
Telephone:
Fax:
Handphone:
Religion:
Educational Background:
Occupation:
Email:
Office Address:
Office Tel. / Fax:
C. Application Information
Please choose the level of class you wish to apply for by checking in the appropriate box.
Primary 1
Primary 2
Primary 3
Primary 4
Primary 5
Primary 6
Secondary 1
Secondary 2
Secondary 3
Secondary 4
JCB
A Level
Foundation
D. Admission Rules and Policies of the School:
Registration fee is payable upon registration (for new students only).
All documents required must be submitted with this registration with the exception of last school report, which may be submitted at a later date. I testify that all documents submitted are not falsified.
The school receipt for registration must be shown on the day of the admission test.
Registration fee is non-refundable if offer from the school is rejected.
All fees stated in the Letter of Offer Admission must be paid by the deadlines stated in order to retain a seat in the school. Failure to do so may result in loss of seat and forfeiture of any fees already paid.
There will be no refund on any of the fees after the student starts school.
I understand and accept that Bina Bangsa School is a Christian School governed by biblical principles.
I understand and agree to abide by the rules and policies stated above.
I agree to Admission Rules and Policies of the School
Verification: