APPLICATION FORM
UNI-BRIDGE ENGLISH PROGRAM
| A. PERSONAL DETAILS | |||
|---|---|---|---|
| Full name: | {{ $row->nama_lengkap }} | ||
| Place / date of birth: | {{ $row->tempat_lahir }}, {{ $row->tanggal_lahir }} | ||
| Home address: | {{ $row->alamat }} | ||
| Home phone number: | {{ $row->telepon_rumah }} | ||
| Mobile number: | {{ $row->nomor_telepon }} | ||
| Email address: | {{ $row->email }} | ||
| B. ACADEMIC BACKGROUND | |||
|---|---|---|---|
| Name of previous school: | {{ $key->pendidikan_terakhir }} | ||
| Address of previous school: | {{ $key->alamat_sekolah }} | ||
| Curriculum used: | {{ $key->kurikulum }} | ||
| What is your current qualification: | {{ $key->current_qualification }} | ||
| C. PERSONAL BACKGROUND | |||
|---|---|---|---|
| Latest educational background : | {{ $item->latest_educational_background }} | ||
| Occupation : | {{ $item->occupation }} | ||
| Company name : | {{ $item->company_name }} | ||
| What is your current qualification: | {{ $item->current_qualification_adult }} | ||
| D. PARENTS/ GUARDIAN DETAILS | |||
|---|---|---|---|
| Father: | |||
| Name : | {{ $key->nama_ayah }} | ||
| Mobile Number : | {{ $key->nomor_ayah }} | ||
| Email : | {{ $key->email_ayah }} | ||
| Mother: | |||
| Name : | {{ $key->nama_ibu }} | ||
| Mobile Number : | {{ $key->nomor_ibu }} | ||
| Email : | {{ $key->email_ibu }} | ||
| Guardian(if opted): | |||
| Name : | {{ $key->nama_wali }} | ||
| Mobile Number : | {{ $key->nomor_wali }} | ||
| Email : | {{ $key->email_wali }} | ||
| UNI-BRIDGE ENGLISH PROGRAM | ||||
|---|---|---|---|---|
| 1 | {{ $key->program }} | |||
_____________________________
({{ $key->nama_lengkap }})
_____________________________
({{ $key->nama_ayah }})
@endforeach