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  • Statement of Absolute Responsibility PDF

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    This document is a statement of absolute responsibility signed by parents/guardians registering prospective new students. It contains the parent/guardian's personal details, contact information, and school choices. The parent agrees that all registration information provided is correct, supporting documents are originals, and the school choice will not be changed after approval. The parent also agrees not to use coercion, bribery, or illegal acts during the registration process, and understands sanctions may be applied if any information is later found to be untrue. The document is signed and stamped by the parent to affirm their conscious and truthful agreement to these terms.

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    STATEMENT OF ABSOLUTE RESPONSIBILITY.pdf

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    This document is a statement of absolute responsibility signed by parents/guardians registering prospective new students. It contains the parent/guardian's personal details, contact information, and school choices. The parent agrees that all registration information provided is correct, supporting documents are originals, and the school choice will not be changed after approval. The parent also agrees not to use coercion, bribery, or illegal acts during the registration process, and understands sanctions may be applied if any information is later found to be untrue. The document is signed and stamped by the parent to affirm their conscious and truthful agreement to these terms.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views1 page

    Statement of Absolute Responsibility PDF

    Uploaded by

    DyEsws
    This document is a statement of absolute responsibility signed by parents/guardians registering prospective new students. It contains the parent/guardian's personal details, contact information, and school choices. The parent agrees that all registration information provided is correct, supporting documents are originals, and the school choice will not be changed after approval. The parent also agrees not to use coercion, bribery, or illegal acts during the registration process, and understands sanctions may be applied if any information is later found to be untrue. The document is signed and stamped by the parent to affirm their conscious and truthful agreement to these terms.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    STATEMENT OF ABSOLUTE RESPONSIBILITY

    (Parents/Guardians of Prospective New Students)


    SMA/SMK *)
    WEST JAVA PROVINCE OF EDUCATIN OFFICE

    The undersigned below: FORMATS: 10

    1. Parent's Full Name: ........................................... ...............................................................


    2. Name of Prospective Students: ........................................................................................
    3. Home Address: …………………………………………………………
    a. Kp/Jl……………………………………………………………………………………....
    b. RT.........RW........Kelurahan.............................. ..........................................................
    c. Subdistrict....................................................................................................................
    d. Regency/City...................................................................................... .........................
    4. Coordinate Point : .……………………..…………………………………………....………
    5. Family Card Number: .…………………………………………………..…………..………
    6. Telephone/Handphone/email Number: …………………………………………..…………
    7. Registration Path : ……………………………………………………………………..…….
    8. School Choices: (The number of choices is filled in according to the path provisions)
    a. Option 1:……………………………………………………………………………………
    b. Option 2: …………………………………………………………………………………
    c. Option 3: …………………………………………………………………………………

    STATE

    1. That all data/information provided in the form registration of PPDB requirements is correct
    and can be accounted for.
    2. That all supporting documents, both required documents general and specific PPDB is in
    accordance with the original.
    3. That I will not change the school choice after the data registration is approved by the
    destination school and displayed on PPDB portal.
    4. That I will not take any coercive action will, bribery and/or acts against law in the
    implementation of this PPDB.
    If it is later proven that my statement is not true, then I am willing to be subject to
    sanctions/penalties in the form of: cancellation of acceptance of new students or other
    sanctions according to the provisions of the applicable laws and regulations. Thus, I made
    this statement in a conscious state, without coercion, and made in truth.

    ................., ........................ 2022


    Who make the statement,
    Stamped 10000

    ......................................................

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