Form Pendaftaran Nama Lengkap *Alamat Lengkap *Tanggal Lahir *BulanSelect month123456789101112TanggalSelect day12345678910111213141516171819202122232425262728293031TahunSelect Year212621252124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926AgamaKelas *Asal Sekolah *No Handphone *Email *Apakah sudah pernah belajar robotik sebelumnya? *YaTidakUpload foto siswa *Choose FileNo file chosenDelete uploaded fileJadwal Pertemuan (pilih salah satu hari saja)Senin09.30-10.3011.00-12.0013.30-14.3015.00-16.00Kamis09.30-10.3011.00-12.0013.30-14.3015.00-16.00Jumat09.30-10.3011.00-12.0013.30-14.3015.00-16.00Sabtu10.00-11.0013.00-14.0014.30-15.30Kelas Seni Tulis Kaligrafi Gratis! Sabtu, minggu pertama setiap bulan Jam 16.00-17.00Apakah Berminat?YaTidakUpload bukti pendaftaran atau pembayaran les *Choose FileNo file chosenDelete uploaded fileKirim
