Personal Information Form


* Child Name

* Place of Birth

* Date of Birth

* Blood Type

* Religion

* Previous School

* Gender

* Incoming Grade

* Nationality

* Mother Tongue (language used in the family)

* He / She lives with

Distance from home to school (km)

* Street Name

* Street No.

* RT/RW

* Village

* Sub District

* Province

* Postal Code

House Phone Number

Sibling Information



Parent Information

Father's Data

* Name

* Education: Highest Degree Obtained

* Place of Birth

* Date of Birth

* Religion

* Nationality

* Occupation

* Position

* Name of Company

* Phone/Fax Office

* Email

* Mobile Phone

Mother's Data

* Name

* Education: Highest Degree Obtained

* Place of Birth

* Date of Birth

* Religion

* Nationality

* Occupation

* Position

* Name of Company

* Phone/Fax Office

* Email

* Mobile Phone

Student Progress

* What are your education goals for your child?

* How would you describe your child's personality and learning style?

* How does your family enjoy spending time together?

* Does your child have any hobbies, sports, or special interest, or unusual capabilities or talents?

* How do you discipline your child?

* Has your child had any remedial work, special tutoring, or enrichment classes during the past two years? If so, in what academic area?

Has your child been tested and / or received help in the following areas?













Note: The school reserves the right to reassess children after 6 months if a false declaration has been made or other conditions, learning difficulties or medical issue arise

* As a parent in our school, what talents, interests, resources can you share to enhance the Mentari Intercultural School Jakarta Community?

* Are you aware of any areas in which we might be able to give special help and encouragement to your child?

How did you know about Mentari Intercultural School?