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ENROLLMENT
Student Information
Name of Student
Date of Birth
Gender
Male
Female
Previous School
- Select Previous School -
Apple Tree / Cita Hati
Other School
Previous School Name
City of School
Grade and Campus Option
Campus Location
- Select Campus Location -
Samarinda Campus
Continuing to Grade
- Select Destination Grade -
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 7 - Basketball Scholarship
Grade 7 - Academic-Talent Scholarship
Grade 8
Grade 9
Grade 10
Grade 10 - Basketball Scholarship
Grade 10 - Academic-Talent Scholarship
Grade 11
Grade 12
Academic Year
- Select Academic Year -
2027 - 2028
2028 - 2029 ( Pre-Order )
2026 - 2027 ( Ongoing Academic Year )
Parents' / Guardian Information
Father's Name
Phone Number
Mother's Name
Phone Number
Guardian's Name (if any)
Phone Number
Correspondence
Email
Home Address
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