Admissions Form | Buah Hati & Cita Hati Christian Schools

Please fill in your child's basic information. We will contact you further to initiate the registration process.

The name used for the certificate (according to birth certificate)
Nama yang digunakan untuk ijasah (sesuai akte)

First Name / Nama Depan *

Middle Name / Nama Tengah

Family Name / Nama Keluarga

Date of Birth / Tanggal Lahir *

Day

Month

Year

City / Kota *

Province / Propinsi *

Country / Negara *

Address / Alamat *

Postal Code / Kode Pos *

Phone / Telepon *

Fax / Faksimili

Email *

Previous School / Sekolah Asal *

PG Grade

TK Grade

SD Grade

SMP Grade

SMA Grade

Location / Lokasi

EAST Campus (Pakuwon City)

WEST Campus (Citra Raya)