Enrollment | Mawar Sharon Christian School

Level | Tingkat*

Grade 10

Grade 11

Grade 12

Student Name | Nama Siswa*

*Names listed should match with Birth Certificate | Nama yang tercantum harus sesuai dengan Akte Lahir

Date of Birth | Tanggal Lahir*

Gender | Jenis Kelamin*

Male | Laki-Laki

Female | Perempuan

House Phone | Telepon Rumah*

Parents | Orang Tua* Please Complete Minimum 1 complete of Data Below | Silahkan mengisi minimum 1 data lengkap di bawah ini

Father's Name | Nama Ayah

Father's Handphone

Handphone

Father's ID Card

ID Card

Mother's Name | Nama Ibu

Mother's Handphone

Handphone

Mother's ID Card

ID Card

Guardians's Name | Nama Wali

Guardians's Handphone

Handphone

Guardians's ID Card

ID Card

Student Address | Alamat Siswa*

*Address as ID Card | Alamat Sesuai KTP

City | Kota*

Student Correspondence | Alamat Surat Menyurat Siswa*

Name of a friend who refers you to MSCS (if any): | Apakah Anda memiliki data orang yang merekomendasikan MSCS kepada Anda ?

Yes | Ya,

Student ID | ID Student

Student Name | Nama Student

No | Tidak

Email*

Security Code | Kode Keamanan*

Enter the character as shown on the image below | Masukkan karakter seperti yang ditunjukkan pada gambar di bawah ini

I have fully read, understand, and agree to the MSCS registration flow, terms, and conditions.
Saya telah sepenuhnya membaca, mengerti, dan menyetujui aturan pendaftaran MSCS, syarat dan kondisi.*

ENTRY REGISTRATION DATA FOR QUEUE / REG NUMBER - 2025-2026

PRE REGISTRATION FORM