Global Darussalam Academy
Rooted in Faith, Reaching Beyond
Daftar Ulang/ Re-registration
SPMB 2026/2027
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2
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Identitas Peserta Didik/ Student Identity
Email Address
Nama Lengkap/ Full Name (Huruf Kapital)
Nama Panggilan/ Nickname
Jenis Kelamin/ Gender
Laki-laki/ Male
Perempuan/ Female
NISN
NIK/ No. KITAS/ ID Number
Tempat Lahir/ Place of Birth
Tanggal Lahir/ Date of Birth
No. Registrasi Akta Lahir/ Birth Certificate No.
Nomor KK/ Family Card No.
Kewarganegaraan/ Nationality
Tempat Tinggal/ Address Status
Bersama Orang Tua/ Living with Parents
Wali/ Guardian
Rumah Sendiri/ Own House
Sewa Rumah/ Rented House
Panti Asuhan/ Orphanage
RT
RW
Nama Dusun
Nama Kelurahan/Desa - Sub-district/ Village
Kecamatan
Kabupaten
Kode Pos/ Postal Code
Anak keberapa/ Child number
Jumlah Saudara Kandung/ Number of siblings
Alamat Jalan (sesuai KK)/ Street Address (as per Family Card)
Apakah memiliki saudara kandung di Global Darussalam Academy?/ Do you have siblings in GDA?
Tidak/ No
Ya/ Yes
Jika "ya", tuliskan nama saudara kandung/ If "yes", write the sibling's name
Kategori Peserta Didik/ Student Category
Peserta Didik Baru/ New Student
Pindahan/ Transfer
Media Sosial Peserta Didik/ Student Social Media
Identitas Sekolah Asal/ Previous School Identity
Nama Sekolah Asal/ Previous School Name (Huruf Kapital)
Alamat Sekolah Asal/ Previous School Address
Identitas Ayah Kandung/ Father's Identity
Nama Ayah Kandung/ Father's Name (Huruf Kapital)
NIK Ayah/ Father's ID Number
Tanggal Lahir Ayah/ Father's Date of Birth
Status Ayah/ Father's Status
Masih Hidup/ Alive
Wafat/ Deceased
Bercerai/ Divorced
Pendidikan Ayah/ Father's Education
SD
SMP
SMA
D1
D2
D3
D4
S1
S2
S3
Pekerjaan Ayah/ Father's Occupation
Instansi/Tempat Bekerja Ayah - Father's Workplace
Penghasilan bulanan Ayah/ Father's monthly income
0 - 499.999
500.000 - 1.999.999
2.000.000 - 4.999.999
5.000.000 - 9.999.999
10.000.000 - 20.000.000
> 20.000.000
Nomor HP Ayah/ Father's Phone Number
Identitas Ibu Kandung/ Mother's Identity
Nama Ibu Kandung/ Mother's Name (Huruf Kapital)
NIK Ibu/ Mother's ID Number
Tanggal Lahir Ibu/ Mother's Date of Birth
Status Ibu/ Mother's Status
Masih Hidup/ Alive
Wafat/ Deceased
Bercerai/ Divorced
Pendidikan Ibu/ Mother's Education
SD
SMP
SMA
D1
D2
D3
D4
S1
S2
S3
Pekerjaan Ibu/ Mother's Occupation
Instansi/Tempat Bekerja Ibu - Mother's Workplace
Penghasilan bulanan Ibu/ Mother's monthly income
0 - 499.999
500.000 - 1.999.999
2.000.000 - 4.999.999
5.000.000 - 9.999.999
10.000.000 - 20.000.000
> 20.000.000
Nomor telepon rumah/ Home phone number
Identitas Wali/ Guardian's Identity (Opsional/ Optional)
Nama Wali/ Guardian's Name (Huruf Kapital)
NIK Wali/ Guardian's ID Number
Tanggal Lahir Wali/ Guardian's Date of Birth
Pendidikan Wali/ Guardian's Education
-
SD
SMP
SMA
D1
D2
D3
D4
S1
S2
S3
Pekerjaan Wali/ Guardian's Occupation
Penghasilan bulanan wali/ Guardian's monthly income
-
0 - 499.999
500.000 - 1.999.999
2.000.000 - 4.999.999
5.000.000 - 9.999.999
10.000.000 - 20.000.000
> 20.000.000
Upload Dokumen/ Document Upload
Akta Kelahiran/ Birth Certificate (PDF/IMG)
Kartu Keluarga/ Family Card (PDF/IMG)
Pas Foto 3x4 berwarna terbaru/ Recent 3x4 color photo (IMG)
Ijazah SMP/ Junior High School Diploma (PDF/IMG)
KTP Ayah/ Father's ID Card (IMG)
KTP Ibu/ Mother's ID Card (IMG)
KTP Wali (Jika Ada)/ Guardian's ID Card (if applicable) (IMG)
Foto Rumah/ House Photo (IMG)
Tagihan Listrik/ Electricity Bill (IMG)
Sebelumnya
Berikutnya
