pelita harapan university undergraduate prospectus 2012

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ADMISSION MANUAL PROSPECTIVE UNDERGRADUATE STUDENTS ACADEMIC YEAR 2012/2013 BUKU PETUNJUK PENDAFTARAN CALON MAHASISWA S1 TAHUN AJARAN 2012/2013

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ADMISSION MANUAL

PROSPECTIVE UNDERGRADUATE STUDENTSACADEMIC YEAR 2012/2013

BUKU PETUNJUK PENDAFTARAN

CALON MAHASISWA S1TAHUN AJARAN 2012/2013

Selamat datang di UPH Global Kampus.

Buku Manual Admission ini dipersiapkan secara menyeluruh mencakup informasi yang berkaitan dengan Fakultas dan Jurusan di UPH, Program Double Degree, Program Dual Degree, prosedur dan persyaratan pendaftaran serta peraturan keuangan.

Kami ingin Anda dapat bergabung dengan kami dan memperkenalkan Anda tentang visi UPH, yaitu: True Knowledge, Faith in God and Godly Character.

UPH berkomitmen melayani Anda dengan cara yang terbaik, menyediakan pendidikan serta pengajaran holistik, dengan pengajar, teknologi dan infrastruktur berkualitas internasional. UPH juga mempersiapkan mahasiswa agar dapat bersaing secara global di bidang industri dan bisnis modern.

Selamat datang di UPH, Global Campus di Indonesia yang menyediakan pembelajaran menarik dengan pendidikan holistik terbaik.

Welcome to UPH Global Campus.

This Admission Manual Book has been prepared to pro-vide you with comprehensive information regarding UPH Faculty, Double Degree Program, Dual Degree Program, admission requirements, procedures and financial regula-tions.

We are eager to have you in the UPH family and intro-duce you to the vision of our university, which is: True Knowledge, Faith in God and Godly Character.

UPH are committed to serve you in the best possible ways, providing a holistic education and learning with an internationally qualified lecturers and professors, world-class facilities, technology, and infrastructure. UPH also prepare students to be globally respected and appreciated by modern industries and businesses.

I welcome you to UPH, the Global Campus in Indonesia where learning is fun and excellent holistic education is open to you.

Lippo Village, May 17, 2011

Dr. (Hon) Jonathan L.Parapak, M.Eng.Sc.Chancellor / Rector

BEFORE YOU APPLY

WHEN YOU APPLY

AFTER YOU APPLY

AFTER ACCEPTANCE

APPENDIX

CONTENTAdmission ManualBuku Petunjuk Pendaftaran 1

Admission Schedule & Scholarship ScheduleJadwal Pendaftaran & Jadwal Beasiswa 2

Entry OptionsJalur Masuk 3

Faculty and MajorFakultas dan Jurusan 4

Double Degree ProgramProgram Double Degree 5

Dual Degree ProgramProgram Dual Degree 6

Admission RequirementsPersyaratan Pendaftaran 7

Application Form ReceiptTanda Terima Pendaftaran 9

Application FormFormulir Pendaftaran 11

Arts Recommendation FormFormulir Rekomendasi Beasiswa Kategori Seni 13

Sport Recommendation FormFormulir Rekomendasi Beasiswa Kategori Olahraga 14

Conservatory of Music FormFormulir Conservatory of Music 15

Faculty of Medicine FormFormulir Fakultas Kedokteran 17

Admission StatementSurat Pernyataan 23

Check Admission ResultMemeriksa Status Kelulusan 19

Payment GuidelinesPedoman Pembayaran 20

English TestTes Bahasa Inggris 20

Uniform Fitting & Smartcard Photo SessionPengukuran Seragam & Foto Smartcard 20

Re-Registration FormFormulir Daftar Ulang 20

UPH Festival 20

Health Declaration FormFormulir Fakultas Kedokteran 21

Re-Registration FormFormulir Daftar Ulang 25

Admission Statement SPECIMENContoh Surat Pernyataan 27

Guideliness Petunjuk pengisian formulir 28

Table 30

What is Admission

ManualApakah Admission

Manual

When to use the Admission

ManualKapan

menggunakan Admission Manual

A book contains all information about the enrollment of Universitas Pelita Harapan.

This book consists of four sections:1. Before you apply 2. When you apply 3. After you apply 4. After acceptance

Buku yang berisi tentang informasi pendaftaran Universitas Pelita Harapan.

Buku ini terbagi atas 4 bagian, yaitu:1. Sebelum anda mendaftar2. Saat anda mendaftar3. Setelah anda mendaftar4. Setelah anda diterima

Before you apply Inform you about all Programs that UPH offers to you for Academic Year 2012/2013.

When you apply Inform you about documents needed to submit to Admission Center at D building 1st floor.

After you apply Inform you how to check whether you are accepted in UPH or not.

After acceptance In this section you will know what to do after you are accepted in UPH.

Sebelum anda mendaftar Informasi tentang Program yang ditawarkan UPH untuk Tahun Ajaran 2012/2013.

Saat anda mendaftarInformasi tentang dokumen yang harus diserahkan ke Admission Center di gedung D lantai 1.

Setelah anda mendaftar Informasi tentang bagaimana mengetahui apakah anda diterima di UPH.

Setelah anda diterimaInformasi tentang hal-hal yang harus dilakukan setelah Anda diterima di UPH.

1

ADMISSION MANUALACADEMIC YEAR 2012/2013

TERM ENTRY OPTION SUBMISSION DEADLINE ADMISSION TEST

Early Admission 1 Direct Admission Saturday, September 24, 2011

Admission Test Friday, October 07, 2011 Saturday, October 08, 2011

Early Admission 2 Direct Admission Saturday, November 12, 2011

Admission Test Friday, November 25, 2011 Saturday, November 26, 2011

Term 1 Direct Admission Saturday, January 21, 2012

Admission Test Friday, February 03, 2012 Saturday, February 04, 2012

Term 2 Direct Admission Saturday, March 24, 2012

Admission Test Friday, April 06, 2012 Saturday, April 07, 2012

Term 3 Direct Admission Saturday, May 05, 2012

Admission Test Friday, May 18, 2012 Saturday, May 19, 2012

Term 4 Direct Admission Saturday, June 02, 2012

Admission Test Thursday, June 21, 2012 Friday, June 22, 2012

Term 5 Direct Admission Saturday, July 14, 2012

Admission Test Thursday, July 26, 2012 Friday, July 27, 2012

Note: Please refer to www.uph.edu for any updated information due to possibility of public holiday

ADMISSION SCHEDULEACADEMIC YEAR 2012/2013

SCHOLARSHIP SCHEDULEACADEMIC YEAR 2012/2013

SCHOLARSHIP PROCESS DATE

Submission Form Deadline Batas akhir pengembalian formulir Saturday, October 22, 2011

Admission Test (Medicine)Ujian Saringan Masuk/USM

(hanya untuk jurusan Kedokteran)Saturday, October 29, 2011

Interview Session (Medicine)Periode Interview Saturday, November 05, 2011

Interview Session (Non Medicine)Periode Interview

(semua Jurusan, kecuali FK)November 09-15, 2011

Announcement Pengumuman Monday, November 28, 2011

Payment Deadline (1st installment or Cash)Batas akhir pembayaran (Cicilan 1 atau tunai) Friday, December 16, 2011

Payment Deadline (2nd installment) Batas akhir pembayaran (Cicilan 2) Friday, January 20, 2012

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DIRECTADMISSION

ENTRY OPTIONACADEMIC YEAR 2012/2013

ADMISSIONTEST

SCHOLARSHIP

Applicable to all majors (exclude Medicine). Prospective Students can choose up to 3 majors.

Berlaku untuk semua jurusan (kecuali FK).Calon Mahasiswa dapat memilih 3 jurusan.

Applicable to prospective student who are not accepted in Direct Admission (exclude Conservatory of Music).Prospective Students can choose up to 3 majors (exclude Medicine only 1 major)

Applicable to Faculty of Medicine applicants.Prospective Students who apply to Faculty of Medicine are restricted to choose only one major and can take the Admission Test for maximum 4 times in one academic year.

Berlaku bagi Calon Mahasiswa yang tidak lolos seleksi Direct Admission (kecuali Conservatory of Music).Calon Mahasiswa dapat memilih 3 jurusan (kecuali FK hanya 1 jurusan).Berlaku bagi Calon Mahasiswa yang mendaftar di Fakultas Kedokteran (FK). Calon Mahasiswa yang mendaftar di FK hanya dapat memilih 1 jurusan dan dapat melakukan USM maksimal 4 (empat) kali dalam 1 tahun ajaran yang sama.

Open to all majors and only the first chosen major will be processed in scholarship. Scholarship Category Scholarship TypesAcademic Achievement Platinum (100%)Limited Financial Gold (75%)Arts Silver (50%)Sport Bronze (25%)

Scholarship CoverageAdmission Fee Semester Fee Credit Fee

Berlaku untuk semua jurusan dan hanya pilihan pertama yang akan diproses melalui jalur Beasiswa.

Kategori Beasiswa Tipe BeasiswaPrestasi Akademik Platinum (100%) Keterbatasan Keuangan Gold (75%)Seni Silver (50%)Olahraga Bronze (25%)

Cakupan BeasiswaBPP SPPBPP SemesterBPP SKS

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FACULTY & MAJORACADEMIC YEAR 2012/2013

FACULTY MAJOR ADMISSION TESTSUBJECT

FULL ENGLISH

CLASS

TOTAL SEMESTER DEGREE

Business School Management

English Test & MathematicsAvailable

8 S.E.Accounting Available

Faculty of Design and Planning (FDTP)

Civil Engineering English Test, Mathematics & Physics Not available

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S.T.

Architecture

English Test, Mathematics &Drawing

Not available

Visual Communication Design Not available

S.Sn.Interior Design Available

Product Design Not available

Faculty of Industrial Technology (FTI)

Electrical Engineering English Test, Mathematics & Physics

Not available

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S.T.Industrial Engineering Not available

Food Technology English Test, Mathematics, Biology & Chemistry Available S.TP.

Faculty of Social and Political Science (FISIP)

CommunicationsEnglish Test & Mathematics

Available8 S.I.Kom

S.Sos.International Relations Available

School of Law (FH) Law English Test & Mathematics Available 8 S.H.

Conservatory of Music (FIS) Music English Test & Mathematics Not available 8 S.Sn.

Faculty of Medicine and Health Sciences (FK) Medicine English Test, Mathematics,

Biology & Chemistry Not available 10 dr.

School of Computing (FIK)

Information System

English Test & Mathematics

Not available

8 S.Kom.Informatics Available

Computer System Not available

Faculty of Education (FIP) English English Test Available 8 S.Pd.

Faculty of Science and Applied Mathematics (FSM)

Applied Mathematics English Test & Mathematics Not available

8 S.Si.Biotechnology English Test, Mathematics,

Biology & Chemistry Not available

Faculty of Psychology (F.Psi) Psychology English Test & Mathematics Not available 8 S.Psi.

Faculty of Nursing and Allied Health Sciences (SON)

NursingMathematics, English,

Indonesian, Science Potential Test, Interview

Not available 8 S.Kep.

School of Hospitality and Tourism (STPPH)

Hospitality ManagementTravel Industry Management

English Test & Tourism Knowledge

Available

8 S.ST.Not available

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DOUBLE DEGREE PROGRAMACADEMIC YEAR 2012/2013

This program enables a student to earn 2 (two) degrees from UPH within shorter time periode.

MAJOR TOTAL SEMESTER DEGREES

Information System & Accounting 9 S.Kom. & S.E.

Travel Industry Management & Management 9 S.ST. & S.E.

Hospitality Management & Management 10 S.ST. & S.E.

Applied Mathematics & Management 9 S.Si. & S.E.

Food Technology & Management 10 S.TP. & S.E.

Computer Technology & Management 10 S.Kom. & S.E.

Informatics & Applied Mathematics 9 S.Kom. & S.Si.

TERMS & CONDITIONS SYARAT & KETENTUAN

A new student who wants to join the Double Degree program from the first semester can register with the Admission Department. The student can choose up

to 3 (three) Double Degree Programs.

Pendaftaran Program Double Degree dari Penerimaan Mahasiswa Baru semester pertama

akan dilakukan di Departemen Admission. Mahasiswa boleh memilih sampai dengan 3 pilihan

Program Double Degree.A student who enrolls in the Double Degree

Program will get 2 (two) degrees. Thus, he/she will get 2 (two) diplomas and 2 (two) transcripts.

Mahasiswa yang mendaftar ke Program Double Degree akan mendapat 2 (dua) Gelar, 2 (dua)

Ijazah, dan 2 (dua) Transkrip.A student can enroll in a Double Degree Program

within his/her first 4 (four) semesters in the university.

Mahasiswa dapat mendaftar Program Double Degree sejak semester pertama sampai dengan

semester keempat.A student can move from a Double Degree program

to a Single Program or vice versa (as long as he follows relevant UPH regulations).

Mahasiswa Program Double Degree dapat pindah ke Program Double Degree lain atau Single Degree

(sesuai ketentuan yang berlaku)The student will be assigned only one Home Department, which will provide all necessary academic & administrative services for him.

Home Department adalah Jurusan yang akan mengurus semua Administrasi Mahasiswa Program

Double Degree.Current students who want to join Double Degree

program can register directly through their PA or the UPH online system.

Pendaftaran Program Double Degree saat mahasiswa sudah kuliah sampai dengan semester

keempat dapat dilakukan pada saat registrasi ulang melalui PA atau melalui on-line system di UPH.

REGULATIONS FOR DOUBLE DEGREE PROGRAMACADEMIC YEAR 2012/2013

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DUAL DEGREE PROGRAMACADEMIC YEAR 2012/2013

This program allows a student to earn two degrees from UPH and university partner.

DEGREE PROGRAM UNIVERSITIES SEMESTER

ManagementUniversitas Pelita Harapan, Karawaci - Indonesia (S.E.) 6 semesters

La Trobe University, Melbourne - Australia(Bachelor of Business / Bachelor of Int’l Business)

2 semesters

AccountingUniversitas Pelita Harapan, Karawaci - Indonesia (S.E.) 6 semesters

La Trobe University, Melbourne - Australia(Bachelor of Business / Bachelor of Int’l Business)

2 semesters

Civil Engineering Universitas Pelita Harapan, Karawaci - Indonesia (S.T.) 5 semesters

Hanzehogeschool Groningen, Netherland(Civiele Techniek Ingenieur)

3 semesters

Interior DesignUniversitas Pelita Harapan, Karawaci - Indonesia (S.Sn.) 4 semesters

Queensland University of Technology, Brisbane - Australia (Bachelor of Design)

4 semesters

Food TechnologyUniversitas Pelita Harapan, Karawaci - Indonesia (S.TP.) 6 semesters

University of Newcastle, New South Wales - Australia(Bachelor of Food Science and Human Nutrition)

2 semesters

CommunicationsUniversitas Pelita Harapan, Karawaci - Indonesia (S.Sos.) 4 semesters

Queensland University of Technology, Brisbane - Australia (Bachelor of Journalism)

4 semesters

LawUniversitas Pelita Harapan, Karawaci - Indonesia (S.H.) 6 semesters

Murdoch University, Perth - Australia(Bachelor of Common Law)

2 semesters

Information System

Universitas Pelita Harapan, Karawaci - Indonesia (S.Kom.) 4 semesters

Napier University, Scotland - UK(Bachelor of Science (Hons) in Business Information Systems /

Bachelor of Science (Hons) in Computing /Bachelor of Engineering (Hons) in Multimedia Systems)

4 semesters

Informatics

Universitas Pelita Harapan, Karawaci - Indonesia (S.Kom.) 4 semesters

Napier University, Scotland - UK(Bachelor of Science (Hons) in Computing /

Bachelor of Science (Hons) in Multimedia Systems /Bachelor of Engineering (Hons) in Software Engineering)

4 semesters

Informatics

Universitas Pelita Harapan, Karawaci - Indonesia (S.Kom.) 5 semesters

University of Ballarat, Australia(Bachelor of Information Technology /

Bachelor of Applied Computing (Mathematics))3 semesters

Hospitality ManagementUniversitas Pelita Harapan, Karawaci - Indonesia (S.ST.) 7 semesters

Int’l College of Hotel Management, Adelaide - Australia(Bachelor of Hotel Management)

2 semesters

Hospitality ManagementUniversitas Pelita Harapan, Karawaci - Indonesia (S.ST.) 7 semesters

Int’l College of Hotel Management, Adelaide - Australia(Bachelor of Hotel Management)

1 semesters

Hospitality ManagementUniversitas Pelita Harapan, Karawaci - Indonesia (S.ST.) 7 semesters

Southern New Hampshire, Manchester - USA(Bachelor of Applied Science in Hospitality Administration)

2 semesters

Hospitality ManagementUniversitas Pelita Harapan, Karawaci - Indonesia (S.ST.) 7 semesters

International Hotel Management Institute, Lucerne - Switzerland (Bachelor of Arts)

2 semesters

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ADMISSION REQUIREMENTSACADEMIC YEAR 2012/2013

GENERAL REQUIREMENTS

NATIONALCURRICULUM

OTHERS

CAMBRIDGECURRICULUM

INTERNATIONALBACCALAUREATE

FACULTY OFDESIGN

AND PLANNING

CONSERVATORYOF MUSIC

FACULTY OFMEDICINE

Registration Folder

Application Form Receipt (page 9)

Admission Statement (page 23)

Application Form (page 11)

2 recent photo size 3x4

A copy of a valid ID Card (KTP/Kartu Pelajar/SIM)

A copy of legalized Junior High School National Examination (UAN SMP)

A copy of legalized Academic Records: Grade 10 and 11

A copy of legalized Senior High School National Certificate (STTB SMA)*

A copy of legalized Senior High School National Examination (UAN SMA)*

* submit later

A copy of legalized IGCSE Certificate

A copy of legalized Foundation Certificate (for ‘O’ Level)

A copy of legalized Certificate Equivalency by Indonesian Education Department

A copy of legalized Predicted Academic Record: Grade 11

A copy of legalized IB Predicted / Final Certificate

A copy of legalized Certificate Equivalency by Indonesian Education Department

A copy of legalized Academic Records: Grade 10 and 11

A copy of legalized Academic Records: Grade 10 and Foundation Certificate

A copy of legalized Final Certificate

A copy of legalized Certificate Equivalency by Indonesian Education Department

1 (one) page Essay: Statement of Purpose “Why I choose X Major Study Program? “

Color Blindness Test Certificate

Architecture/Interior Design/Product Design: 3 (three) hand drawings / portfolios

Drawing Theme: Free, Interior and Exterior

DKV: 3 (three) hand drawings / portfolios

Media of Portfolio: Pencil, Paint and Free Media

Conservatory of Music Form (page 15)

1 pc DVD/VCD (in Windows Media Player Format) for each Concentration

Sound Design: 3 (three) songs that are made through computer software such as Reason, Fruity Loops, Garage Band, Cubase, Sonar, etc.

Music Therapy: 1 (one) page Essay about Music Therapy

Music Composition: create your own music score

A-500-word English Essay on “Why I am interested in Medicine and how I will use it to provide good health care for the people of Indonesia in future.”

Faculty of Medicine Form (page 17)

Color Blindness Test Certificate

FOR APPLICANTS

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ADDITIONAL REQUIREMENTS FOR SCHOLARSHIPACADEMIC YEAR 2012/2013

GENERALREQUIREMENTSFOR ACADEMIC

ACHIEVEMENT &ALL SCHOLARSHIP

CATEGORIES

LIMITEDFINANCIAL

SCHOLARSHIP

ARTSSCHOLARSHIP

SPORTSCHOLARSHIP

A copy of family card (KK)

Curriculum Vitae

Scholarship Application Letter to UPH Scholarship Committee signed by parents.

A-500-word English Essay about “Why I choose X Major at UPH as a Stepping Stone for My Career”

A statement letter of family financial condition, issued by:Church (for Christian/Catholic) or RT/RW/Kelurahan (for non Christian/Catholic)

A copy of electricity bill for the last 3 (three) months

A copy of water bill for the last 3 (three) months

A copy of land telephone bill for the last 3 (three) months

A copy of Land and Building Tax (PBB) payment

A copy of Parent’s payslip or Certificate of Income

ARTS Recommendation Form (page 13)

A copy of Course Certificate in respective field

A copy of Certificate of performance (Province/National/International level)

SPORT Recommendation Form (page 14)

Recommendation Letter from the Indonesian National Committee for Sports (KONI) or other National/ Province sports organization

A copy of Certificate of performance (Province/National/International level)

A recent photo (postcard size) wearing team uniforms (write your name, height and weight behind the photo)

FOR CATEGORY

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APPLICATION FORM RECEIPTACADEMIC YEAR 2012/2013

STUDENT’S INFORMATION

Form Number :

Full Name :

High School :

Major : Science Social Others

Phone :

Mobile Phone :

ENTRY OPTION

Direct Admission Admission Test Scholarship

CHOICES OF PROGRAMS (See Table 2)

1st Choice : Code Major

2nd Choice : Code Major

3rd Choice : Code Major

Lippo Village, ………………,20…................

Admission Staff

------------------------------------------------------

Name :

-

-

Copy 1 : Prospective Student

APPLICATION FORM RECEIPTACADEMIC YEAR 2012/2013

STUDENT’S INFORMATION

Form Number :

Full Name :

High School :

Major : Science Social Others

Phone :

Mobile Phone :

ENTRY OPTION

Direct Admission Admission Test Scholarship

CHOICES OF PROGRAMS (See Table 2)

1st Choice : Code Major

2nd Choice : Code Major

3rd Choice : Code Major

Lippo Village, ………………,20…................

Prospective Student

------------------------------------------------------

Name :

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Copy 2 : UPH Admission Center

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Incomplete items :

1. ® -----------------------------------

2. ® -----------------------------------

3. ® -----------------------------------

4. ® -----------------------------------

5. ® -----------------------------------

Form Number :

Due Date

_________________________________

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APPLICATION FORMACADEMIC YEAR 2012/2013

STUDENT’S INFORMATION

Form Number :

Full Name :

Phone :

Mobile Phone :

ENTRY OPTION

qDirect Admission

qAdmission Test

qScholarship

qAcademic Achievement qLimited Financial qArts qSport

EDUCATIONAL BACKGROUND

High School :

National Curriculum : qScience qSocial qOthers....................

-

If you choose “Others”, fill in the column with score in Year 11 Final Report.

NO SUBJECT SCORE MAXIMUM SCORE

1. Mathematics (Compulsory)

2. English (Compulsory)

3.

4.

5.

International Curriculum : qIB qA Level qAS Level qO Level qOthers....................

Fill in the column with your score in Year 11 Final Report.

NO SUBJECT SCORE MAXIMUM SCORE

1.

2.

3.

4.

5.

6

...............................20......................

Prospective Student

------------------------------------------Name:

Acknowledged by,Parent/Guardian

------------------------------------------Name:

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ARTS RECOMMENDATION FORMACADEMIC YEAR 2012/2013

The undersigned is:

Coach/ Teacher Full Name :

High School/Institution :

Address :

Mobile Phone :

Declare that:

Prospective Student Full Name :

Class :

Has the following activities at school:

1. ..............................................................................................................................................................................................................................

2. ..............................................................................................................................................................................................................................

3. ..............................................................................................................................................................................................................................

4. ..............................................................................................................................................................................................................................

5. ..............................................................................................................................................................................................................................

Has the following achievements:

1. ..............................................................................................................................................................................................................................

2. ..............................................................................................................................................................................................................................

3. ..............................................................................................................................................................................................................................

4. ..............................................................................................................................................................................................................................

5. ..............................................................................................................................................................................................................................

…………………, …………..……… 20…..

Signed by,

Art’s Teacher

--------------------------

Signature & Stamp

Name:

-

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SPORT RECOMMENDATION FORMACADEMIC YEAR 2012/2013

The undersigned is:

Coach/ Teacher Full Name :

High School/Institution :

Address :

Mobile Phone :

Inform that:

Prospective Student Full Name :

Class :

Height & Weight :

Has the following activities at school:

1. ..............................................................................................................................................................................................................................

2. ..............................................................................................................................................................................................................................

3. ..............................................................................................................................................................................................................................

4. ..............................................................................................................................................................................................................................

5. ..............................................................................................................................................................................................................................

Has the following achievements:

1. ..............................................................................................................................................................................................................................

2. ..............................................................................................................................................................................................................................

3. ..............................................................................................................................................................................................................................

4. ..............................................................................................................................................................................................................................

5. ..............................................................................................................................................................................................................................

…………………, …………..……… 20…..

Signed by,

Sport’s Teacher

--------------------------

Signature & Stamp

Name:

-

cm / kg

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STUDENT INFORMATION

Form Number :

Full Name :

High School :

Phone :

Mobile Phone :

1st choice consentration* :

2nd choice consentration :

3rd choice consentration :

* see www.uph.music.ac.id

photograph3 x4

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CONSERVATORY OF MUSIC FORMACADEMIC YEAR 2012/2013

Why do you choose UPH Conservatory of Music? How does music bring impact on your life?

Why do you choose the 1st concentration choice? Who is your favorite composer or performer? Why?

Why do you choose the 2nd concentration choice? Ensemble playing experiences: Yes/No

Apply to conservatory of music other than UPH: Yes / No

Why do you choose the 3rd concentration choice? Latest teacher name:Institution/music schools : Music award ever received (if any):- .................................................................................- .................................................................................- .................................................................................

Mention the repertoire that you have ever learned? Write the name of major instrument/vocal lecturer desired. (term & condition applied)

Briefly, describe your goals and influence that make you plan a career in music.

MUSIC RECOMMENDATION FORM PROCEDURESTEP 1. Student complete the data & details of Prospective Student.STEP 2. The recommender complete the data & details of the Recommender. Insert this form into sealed envelopeCandidates are NOT PERMITTED TO READ THE DATA & FACTS RECOMMENDATIONS from Recommender.

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RECOMMENDER

Full Name :

Institution/School of Music :

Phone :

Length of Course : Year

Frequency/Week : course/week, and hours/course

DETAILS OF RECOMMENDATION

Please circle the most appropriate answer choice based on prospective students.

1. How is the Technical strength in playing the instrument: a. Solid b. Need supervision to be solid c. Difficult to be solid

6 Level of dilligence: a. Show a great enthusiasm to learn his/her musical pieces b. Has ambition to develop his/her musical ability yet less consistent c. Depends on mood, always need support to gain motivation and inspiration

2. How is the Musical strength in playing the instrument a. Sensitive and able to perform an outstanding musical showing diligence to do the work b. Sensitive yet need guidance c. Less sensitive

7 Level of speed to grasp the knowledge: a. Show rapid development in a short amount of timeb. Not too fast in showing dilligence to do the work ability by his/her

own initiative c. Not too fast and less careful over the given correction not too fast

and less careful over the given correction

3 Knowledge about Theory of Music: a. Very good in making harmony using S-A-T-B format b. Know basic format in writing S-A-T-B c. Doesn’t have a deep knowledge in theory of music

8 Your opinion about the maturity of your student: Your opinion about the maturity of your student:a. Able to show his/her maturity, think logically and critical in a

consistent manner b. Able to show his/her maturity yet fail to accomplish c. Immature and need special guidance/attention immature and need

special guidance/attention

4. Knowledge about aural training: a. Well trained in solfegio/prima vista for example: ritmic dictation, melody, interval, and harmony b. Has sufficient session in aural training but only before the examination period c. Haven’t received aural training yet

9 Level of confidence to see your student will be able to succeed studying at UPH Conservatory of Music with his/her chosen ritmic dictation, melody, interval, and harmony concentration: a. Very sure 80% - 100%b. Sure 60% - 80% c. Unsure 50% - 60%

5. Knowledge about history of music: a. Has interest in learning the history of music as well as background of songs that he/she is playing b. Has sufficient guidance c. Never receive any guidance

10 Your consideration for the student to get scholarship: a. Highly recommended b. Recommended c. Less recommended

RECOMMENDATION LETTER FOR SCHOLARSHIP APPLICANT (only for scholarship applicant) to be completed by the recommender

We would like to ask your recommendation of this student regarding his/her scholarship application to UPH Conservatory of Music:

Sincerely,

......................………………………………. (Name & signature of Recommender)

- Mobile Phone -

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A. PROSPECTIVE STUDENT INFORMATION

Form Number :

Full Name :

Date of Birth :

Address :

Name of Parent :

Name of Family Doctor :

Mobile Phone :

FACULTY OF MEDICINE FORMACADEMIC YEAR 2012/2013

-

B. INTEREST IN MEDICINE

COMMUNITY INVOLVEMENTPlease provide a brief summary of all volunteering, caring, community leadership, religious services and organizations (Clubs or Student) that you have participated in the box provided.

PERSONAL ACHIEVEMENTSWhat are your current sports, artistic, hobbies and interests?

Sports :

Artistic :

Hobbies:

Interests:

PERSONAL STATEMENTPlease attach a-500-word English Essay about “Why I am interested in Medicine and how I will use it to provide good health care for the people of Indonesia in the future.”

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AFTER YOU APPLY ACADEMIC YEAR 2012/2013

Your status as Regular

Applicants

Please check your acceptance through http://klik.uph.edu/admission/announcement/14 days after form submission by simply type your form number and your date of birth (ddmmyy).

Setelah 14 hari pengumpulan formulir, status penerimaan Anda dapat dilihat melalui http://klik.uph.edu/admission/announcement/. Masukkan nomor formulir dan tanggal lahir Anda (ddmmyy).

UPH will announce the Scholarship Result through http://www.uph.edu at the date scheduled. The payment details can be checked through http://klik.uph.edu/admission/announcement/ by simply type your form number and your date of birth (ddmmyy).

Pengumuman Beasiswa dapat dilihat melalui http://www.uph edu pada tanggal dijadwalkan. Rincian pembayaran dapat dilihat melalui http://klik.uph.edu/admission/announcement/. Masukkan nomor formulir Anda dan tanggal lahir Anda (ddmmyy).

If you are not accepted from Direct Admission, you will receive an invitation to register yourself to Admission Test (except for Conservatory of Music).

Jika Anda tidak diterima melalui jalur Direct Admission, Anda akan menerima undangan untuk mendaftar melalui Ujian Saringan Masuk/USM (kecuali untuk Konservatorium Musik).

Your status as Scholarship Applicants

Admission Test

(USM)

IMPORTANT. Prospective Students who pass the Direct Admission, Scholarships and Admission Test are required to seek the further needed information proactively such as to collect the Offering Letter/Acceptance Letter from UPH Admission Center in order to gather payment schedule and tuition fees that must be paid.

PENTING. Para Calon Mahasiswa yang lulus melalui jalur Direct Admission, Program Beasiswa dan USM , wajib secara aktif mencari informasi atau mengambil Surat Pemberitahuan Lulus Seleksi/Offering Letter di UPH Admission Center untuk selanjutnya mengetahui jadwal, batas waktu pembayaran dan biaya kuliah yang harus diselesaikan.

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AFTER ACCEPTANCEACADEMIC YEAR 2012/2013

PAYMENT GUIDELINES

ENGLISH TEST

UNIFORM FITTING &

SMARTCARD PHOTO SESSION

RE-REGISTRATION

FORM

UPH FESTIVAL

The Prospective Student should do the payment obligations in accordance with tuition fees listed in Offering Letter.

Payment can be made by installment as well as cash, and must be finalized ACCORDING TO THE PAYMENT DUE DATE that has been determined by UPH/STTPH. Prospective Students must meet the payment schedule accordingly regardless any delay in receiving letter from UPH. If delay occurs, then the tuition fees that apply are the tuition fees at the time of payments occurs.

All payment fees are final and CAN’T BE RETURNED/WITHDRAWN FOR ANY REASON/CONDITION, unless the Prospective Student is failed from High School National Examination (terms and condition applied).

Validate the payment at UPH Finance Department, 3rd fl. A Building or fax to +6221-5461038.

Check payment status at http://www2.klik.uph.edu/admission/announcement/

Calon Mahasiswa harus melakukan kewajiban pembayaran sesuai dengan biaya studi yang tertera di Surat Pengumuman Kelulusan.

Pembayaran dapat dilakukan secara tunai dan cicilan. Pembayaran harus diselesaikan SESUAI DENGAN JADWAL BATAS WAKTU yang telah ditetapkan UPH/STPPH. Keterlambatan penerimaan Surat Pemberitahuan tidak dapat dijadikan alasan keterlambatan pembayaran. Bila terjadi keterlambatan, maka biaya studi yang berlaku adalah biaya studi pada saat pembayaran berlangsung.

Seluruh pembayaran yang telah dilakukan merupakan keputusan akhir dari pihak penyetor dan TIDAK DAPAT DIKEMBALIKAN/DITARIK KEMBALI/DIALIHKAN DENGAN ALASAN/KONDISI APAPUN, kecuali tidak lulus SMA (syarat dan ketentuan berlaku).

Melakukan Validasi atas pembayaran yang dilakukan, di Bagian Keuangan UPH, Gedung A lt.3 atau fax bukti transfer ke +6221-5461038.

Memeriksa status pembayaran di http://www2.klik.uph.edu/admission/announcement/

The Prospective Student should take the English Test conducted by UPH. The schedule can be checked at www.uph.edu

Calon Mahasiswa wajib mengikuti English Test yang diselenggarakan di UPH. Jadwal English Test dapat dilihat di www.uph.edu

Uniform Fitting and Smartcard Photo session can be done after 1st Semester Tuition Fee is paid. The schedule can be checked at www.up.edu

Pengukuran seragam dan pengambilan foto Smartcard dapat dilakukan setelah melunasi biaya studi semester 1. Jadwal Pengukuran Seragam dan Foto Smartcard dapat dilihat di www.uph.edu

Complete the Re-Registration Form (Form 021) on Juli 2012

Melengkapi Form Registrasi Ulang (Form 021) pada Juli 2012

Attend the UPH Festival on August 2012

Mengikuti UPH Festival pada bulan Agustus 2012

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A. PROSPECTIVE STUDENT INFORMATION

Form Number :

Full Name :

HEALTH DECLARATION FORMACADEMIC YEAR 2012/2013

If you are accepted as a student of the Faculty of Medicine, you will be required to complete the “Health Declaration Form” prior to joining for your classes. The information provided to us is confidential and will not be used for any other purposes except providing support for the student.

B. HEALTH DECLARATIONPlease thick ˛while your answer YES or NO. If YES, please give details in the space provided.

YES NO DETAILS

1. Do you have, or have you ever had, any medical conditions or operations in the past 5 years? q q

2.Are you at present attending a doctor for medicalcare, taking any medication or on a waiting list for hospital assessment or treatment?

q q

3. Do you have impairment/disability (physical or mental) or specific learning disability which may affect your ability to study in Faculty of Medicine UPH? q q

4. Have you ever suffered from tuberculosis (TB) within the past 12 months? q q

5. Has any family member or close contact been treated for TB? q q

6. Have you had a cough for more than 3 weeks? q q

7. Have you coughed up blood? q q

8. Have you had any unexplained weight loss? q q

9. Have you suffered from night sweats or fever? q q

10. Have you ever had any kind of back, joint or muscle problem? q q

11. Have you ever had: Dermatitis, Eczema, Psoriasis or any other skin condition? q q

12.Have you ever had any mental illness which might affect your ability to study and practice medical science? (including anxiety, depression, self-harm, eating, disorders, psychological or emotional problems)

q q

13. Have you ever had a drug, tobacco, nicotine or alcohol problem? q q

14. Do you have any difficulty with your eyesight (including color blindness)? q q

15. Do you have difficulty hearing? q q

16. Have you ever suffered from any of the following; loss of consciousness including fainting attacks, blackouts, epilepsy? q q

17. Have you ever suffered from any of the following; heart disease, diabetes, Hypertension or any other medical illness? q q

18. Have you ever suffered with chest or lung problems; Asthma, Bronchitis? q q

19. Have you ever had any allergies; including allergies to drugs, food or latex? q q

20. Have you ever received treatment for bowel or gastric problems? q q

21. Do you have any other medical condition not previously mentioned in questions 1 – 15 above? q q

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ADMISSION STATEMENTACADEMIC YEAR 2012/2013

I, the undersigned below/ Saya, yang bertanda tangan di bawah ini:

Form Number /Nomor Formulir :

Full Name/ Nama Lengkap :

High School/ Asal SMA :

Mobile Phone / Nomor HP. :

Dengan ini menegaskan bahwa:

1. Tidak akan melakukan semua perbuatan yang melanggar hukum; membawa, mengkonsumsi serta mengedarkan obat terlarang (Narkoba)/minuman keras. Hak sebagai mahasiswa UPH/STPPH akan gugur bila tidak lulus dalam tes kesehatan/tes narkoba. 2. Tidak buta warna (khusus jurusan: FK & Jurusan-jurusan Desain)3. Bersedia melakukan tes darah/urine yang sewaktu-waktu akan dilakukan oleh pihak UPH/STPPH. 4. Mengetahui bahwa penyelenggaraan pendidikan di UPH/ STPPH bercirikan iman Kristiani dan berdasarkan Pancasila & UUD 19455. Bersedia mentaati Statuta, Peraturan Tata Tertib Kampus dan peraturan lain yang telah dan akan diberlakukan di UPH/ STPPH.6. Bersedia dikeluarkan (Drop Out/DO) dari UPH/STPPH jika pada akhir 4 semester pertama belum mengumpulkan minimal 40 sks dan IPK < 2,00 sesuai dengan SK Rektor No. 450-SKR/UPH/VI/2003 tanggal 25 Juni 2003.7. Bersedia mengundurkan diri dari UPH/STPPH jika tidak dapat menyerahkan fotokopi ijazah SMA Nasional/Surat Penyetaraan Ijazah setelah 4 semester walaupun sudah diterima dan membayar uang kuliah.8. Telah menerima, memahami, menandatangani dan bersedia memenuhi Peraturan Administrasi Keuangan PMB No. 01 – BAKU/PMB/VII/2011.9. Menyetujui biaya studi (BPP Pokok, BPP SKS dan Registrasi Ulang) hanya berlaku selama 1 tahun akademik untuk Program Extension STPPH; 4 tahun akademik untuk program S-1/D-4, dan 5 tahun akademik untuk Fakultas Kedokteran. Untuk semester-semester selanjutnya akan dikenakan biaya studi yang disesuaikan dengan mahasiswa angkatan terbaru.10. Semua pembayaran yang telah disetor ke Yayasan Universitas Pelita Harapan (YUPH) dinyatakan sebagai keputusan akhir dari pihak penyetor dan tidak dapat ditarik kembali dengan alasan dan kondisi apapun. 11. STTB dan NEM/STK/STL/SKHUN terakhir yang saya miliki adalah sah. Saya akan menanggung akibat apabila berkas tidak sah.12. Belum pernah dikeluarkan (Drop Out) dari UPH. 13. Bersedia menanggung segala sanksi apabila informasi yang saya berikan TIDAK BENAR.14. Telah membaca, mengetahui, mengerti ketentuan dan persyaratan pendaftaran dalam Buku Petunjuk ini.

Hereby affirm that:

1. I will not engage in any conduct against the law; bring, consume, and/or distribute illegal drugs or alcoholic drinks. The rights to be a student of UPH/STPPH will be denied should I fail the drug examination.2. I am not color blinded (for Medicine & Design Major)3. I am willing to participate in a blood/urine examination at any given time by UPH/STPPH.4. The education program of UPH/STPPH is characterized by the Christian Faith, based on the Pancasila and UUD 1945. 5. I am willing to abide by the Regulations stated by the University, both presently and in the future, within the area of UPH/STPPH.6. I am ready to be dismissed from UPH/STPPH if at the end of the first 4 semesters I have not yet at least 40 credits and have a GPA <2,00, in accordance with the Rector’s Decree No. 450-SKR/UPH/VI/2003 issued on June 25, 2003.7. A student had to resign Admission unless he/she can submit a copy of their SMA certificate (national school)/ Certificate Equivalency (international school) before the end of 4th semester, even though the tuition fee has been paid. 8. I have received, understood, signed & am willing to abide the Regulations of the Financial Administration No. 01 – BAKU/ PMB/VII/2011.9. The tuition fee (BPP Pokok, BPP SKS and re-registration) will only be valid for 1 academic year for STPPH extension programs; 4 academic years for S-1/D-4, and 5 academic years for Faculty of Medicine. The subsequent semesters will be charged with the tuition fee in accordance with the most recent academic year.10. All payments transferred to YUPH are declared as the final decision, finalized by the depositor, can’t be refunded for any conditions.11. Recent certificate of study completion and NEM/STK/STL/ SKHUN/International Certificate that I own are legal. I am fully responsible for any consequences should there be any false documents.12. I have not been dismissed from UPH.13. Willing to accept all sanctions for any INCORRECT information I have stated.14. I have read, known, and understood the regulations and registration requirements stated on this Admission Manual.

Lippo Village, ………………………………Stamp Duty

Rp. 6000

--------------------------------------------- ------------------------------------------------- Parent/Guardian’s Name & Signature Prospective Student’s Name & Signature

Copy 2 : UPH Admission Center

This Admission Statement is an agreement between Prospective Student and UPH as an institution

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LENGKAPI & SERAHKAN PERSYARATANKE GD. A LT. 3 SEBELUM 8 AGUSTUS 2012

Complete and submit all the requirementsto Bd.A 3rd fl., before Aug 8, 2012

MENDAPATKAN NOMOR POKOK MAHASISWA(NPM) DARI PETUGAS REGISTRASI ULANG

Get a valid Student Number (NPM)

SAH MENJADI MAHASISWAUPH/STPPH

You are officially a Student of UPH/STPPH

FORM REGISTRASI ULANG MAHASISWA BARU TAHUN AKADEMIK 2012/2013NEW STUDENT RE-REGISTRATION FORM ACADEMIC YEAR 2012/2013

SYARAT UMUMGENERAL REQUIREMENTS

CHECK HARUS DILENGKAPI/TO BE SUBMITTED

qSatu lembar fotokopi Ijazah/Surat Tanda Tamat Belajar dilegalisasi oleh Kepala Sekolah.A copy of High School Final Certificate legalized by Principal.

qSatu lembar fotokopi NEM/STL/STK/SKHUN/TRANSKRIP dilegalisasi oleh Kepala Sekolah.A copy of NEM/STL/STK/SKHUN/TRANSCRIPT legalized by Principal.

qSatu lembar fotokopi Akte KelahiranA copy of Birth Certificate

qSatu lembar fotokopi KTP/SIM/Paspor yang masih berlakuA copy of valid ID/Driving License/Passport

q

4 lembar Pasfoto ukuran 3x4 (Foto terbaru menggunakan kemeja berkerah dengan berlatar belakang biru)Tuliskan nama & jurusan Calon Mahasiswa di bagian belakang foto.4 pcs recent photos 3x4 (Recent photos using collared shirt with a blue background). Write the name and major in the back of the photo

qBukti pelunasan pembayaran SPP/BPP/SKS yang telah dilegalisasi oleh Unit Keuangan UPHReceipt of Tuition Fee legalized by UPH Finance Department

qFORM 021 yang telah diisi lengkap dan ditandatangani oleh Calon Mahasiswa dan Orangtua/WaliFully completed FORM 021 and signed by prospective student and parent/guardian.

SYARAT TAMBAHAN BAGI CALON MAHASISWA DENGAN KURIKULUM INTERNASIONALAdditional Requirement for Student from International Curriculum

CHECK HARUS DILENGKAPI/TO BE SUBMITTED

qSurat Penyetaraan Ijazah/Diploma dari Kementerian Pendidikan Nasional RIA Highschool/Diploma’s Equivalent Statement issued by Ministry of National Education RI

SYARAT TAMBAHAN BAGI CALON MAHASISWA WARGA NEGARA ASINGAdditional Requirements for Student from Foreign Country

CHECK HARUS DILENGKAPI/TO BE SUBMITTED

qSurat Ijin Belajar Warga Negara Asing yang dikeluarkan oleh Kementerian Pendidikan Nasional RIForeigner Study Permit issued by Ministry of National Education RI

qKartu Ijin Menetap Sementara di IndonesiaLiving Permit in Indonesia

IMPORTANT!!!!Lengkapi dan serahkan persyaratan di atas ke Biro Administrasi Akademik UPH/STPPH di Gedung A lt.3 sebelum 8 Agustus 2012.Setelah itu, Anda akan mendapat Nomor Pokok Mahasiswa dan sah menjadi mahasiswa UPH/STPPHComplete and submit all the requirements above to the Academic Administration Bureau of UPH/STPPH at Bd. A 3rd fl. , before Aug 8, 2012.You will get a valid Student Number (NPM) and officially become a student UPH/STPPH.

FORM 020

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MAHASISWA/Student

Nama Lengkap Full Name *)

Tempat & Tanggal Lahir Date of Birth *)

Jenis Kelamin Sex

qPria/Male qWanita/Female

Status Sipil Civilian Status

qKawin/Married qTidak Kawin/Unmarried

AgamaReligion

Kewarganegaraan Nationality

Alamat Lengkap (Perumahan, RT/RW & Kode Pos) Full Address (Include Residence & Zip Code)

Asal Sekolah (Nama & Alamat)High School (Name & Address )

No. Telp dan HPPhone and Mobile Phone Number

Alamat E-mailEmail Address

No.KTP atau No.SIMID Card Number or Driving License Number

*) Sesuai Akte Lahir & Ijazah SMA/As stated in Birth Certificate & Graduation Certificate

AYAH/Father IBU/Mother

Nama Lengkap Full Name Status Sipil Civilian Status

AgamaReligion

Kewarganegaraan Nationality

Alamat Lengkap (Perumahan, RT/RW & Kode Pos)Full Address(Include Residence & Zip Code)

No. Telp dan HPPhone and Mobile Phone Number

Alamat E-mailEmail Address

Pendidikan Terakhir Recent Education

Pekerjaan Occupation

Nama Perusahaan, Alamat & No.TelpCompany, Address & Phone Number

INFORMASI YANG SAYA SAMPAIKAN ADALAH BENAR.

Mengetahui/Acknowledged by, Karawaci, …………………………………..

Tanda Tangan & Nama Orangtua/Wali Tanda Tangan & Nama MahasiswaSignature & Name of Parent/Guardian Signature & Name of Student

FORM REGISTRASI ULANG MAHASISWA BARU TAHUN AKADEMIK 2012/2013NEW STUDENT RE-REGISTRATION FORM ACADEMIC YEAR 2012/2013

FORM 021Nomor Peserta/Participant Number

Jurusan/Department

ISI DENGAN HURUF CETAK/Fill in with Capital Letter

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ADMISSION STATEMENTACADEMIC YEAR 2012/2013

I, the undersigned below/ Saya, yang bertanda tangan di bawah ini:

Form Number /Nomor Formulir :

Full Name/ Nama Lengkap :

High School/ Asal SMA :

Mobile Phone / Nomor HP. :

Lippo Village, ………………………………Stamp Duty

Rp. 6000

--------------------------------------------- ------------------------------------------------- Parent/Guardian’s Name & Signature Prospective Student’s Name & Signature

Copy 1 : Prospective Student

This Admission Statement is an agreement between Prospective Student and UPH as an institution

Dengan ini menegaskan bahwa:

1. Tidak akan melakukan semua perbuatan yang melanggar hukum; membawa, mengkonsumsi serta mengedarkan obat terlarang (Narkoba)/minuman keras. Hak sebagai mahasiswa UPH/STPPH akan gugur bila tidak lulus dalam tes kesehatan/tes narkoba. 2. Tidak buta warna (khusus jurusan: FK & Jurusan-jurusan Desain)3. Bersedia melakukan tes darah/urine yang sewaktu-waktu akan dilakukan oleh pihak UPH/STPPH. 4. Mengetahui bahwa penyelenggaraan pendidikan di UPH/ STPPH bercirikan iman Kristiani dan berdasarkan Pancasila & UUD 19455. Bersedia mentaati Statuta, Peraturan Tata Tertib Kampus dan peraturan lain yang telah dan akan diberlakukan di UPH/ STPPH.6. Bersedia dikeluarkan (Drop Out/DO) dari UPH/STPPH jika pada akhir 4 semester pertama belum mengumpulkan minimal 40 sks dan IPK < 2,00 sesuai dengan SK Rektor No. 450-SKR/UPH/VI/2003 tanggal 25 Juni 2003.7. Bersedia mengundurkan diri dari UPH/STPPH jika tidak dapat menyerahkan fotokopi ijazah SMA Nasional/Surat Penyetaraan Ijazah setelah 4 semester walaupun sudah diterima dan membayar uang kuliah.8. Telah menerima, memahami, menandatangani dan bersedia memenuhi Peraturan Administrasi Keuangan PMB No. 01 – BAKU/PMB/VII/2011.9. Menyetujui biaya studi (BPP Pokok, BPP SKS dan Registrasi Ulang) hanya berlaku selama 1 tahun akademik untuk Program Extension STPPH; 4 tahun akademik untuk program S-1/D-4, dan 5 tahun akademik untuk Fakultas Kedokteran. Untuk semester-semester selanjutnya akan dikenakan biaya studi yang disesuaikan dengan mahasiswa angkatan terbaru.10. Semua pembayaran yang telah disetor ke Yayasan Universitas Pelita Harapan (YUPH) dinyatakan sebagai keputusan akhir dari pihak penyetor dan tidak dapat ditarik kembali dengan alasan dan kondisi apapun. 11. STTB dan NEM/STK/STL/SKHUN terakhir yang saya miliki adalah sah. Saya akan menanggung akibat apabila berkas tidak sah.12. Belum pernah dikeluarkan (Drop Out) dari UPH. 13. Bersedia menanggung segala sanksi apabila informasi yang saya berikan TIDAK BENAR.14. Telah membaca, mengetahui, mengerti ketentuan dan persyaratan pendaftaran dalam Buku Petunjuk ini.

Hereby affirm that:

1. I will not engage in any conduct against the law; bring, consume, and/or distribute illegal drugs or alcoholic drinks. The rights to be a student of UPH/STPPH will be denied should I fail the drug examination.2. I am not color blinded (for Medicine & Design Major)3. I am willing to participate in a blood/urine examination at any given time by UPH/STPPH.4. The education program of UPH/STPPH is characterized by the Christian Faith, based on the Pancasila and UUD 1945. 5. I am willing to abide by the Regulations stated by the University, both presently and in the future, within the area of UPH/STPPH.6. I am ready to be dismissed from UPH/STPPH if at the end of the first 4 semesters I have not yet at least 40 credits and have a GPA <2,00, in accordance with the Rector’s Decree No. 450-SKR/UPH/VI/2003 issued on June 25, 2003.7. A student had to resign Admission unless he/she can submit a copy of their SMA certificate (national school)/ Certificate Equivalency (international school) before the end of 4th semester, even though the tuition fee has been paid. 8. I have received, understood, signed & am willing to abide the Regulations of the Financial Administration No. 01 – BAKU/ PMB/VII/2011.9. The tuition fee (BPP Pokok, BPP SKS and re-registration) will only be valid for 1 academic year for STPPH extension programs; 4 academic years for S-1/D-4, and 5 academic years for Faculty of Medicine. The subsequent semesters will be charged with the tuition fee in accordance with the most recent academic year.10. All payments transferred to YUPH are declared as the final decision, finalized by the depositor, can’t be refunded for any conditions.11. Recent certificate of study completion and NEM/STK/STL/ SKHUN/International Certificate that I own are legal. I am fully responsible for any consequences should there be any false documents.12. I have not been dismissed from UPH.13. Willing to accept all sanctions for any INCORRECT information I have stated.14. I have read, known, and understood the regulations and registration requirements stated on this Admission Manual.

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PAGE 1

K-01 Form NumberK-02 Student’s NameK-03 Place And Date Of Birth See Table 5 for the Country Code. If it’s not found in the table, please write 99. See Table 4 for the Code of Province and Code of City. If it is not found in the table, please write 00. Example: Born in Jakarta Selatan on September 16, 1995, then it should be written 00 01 01 160995.K-04 Student’s Address K-05 RT & RWK-06 Province & City See Table 4. If it is not found in the table, please write 00. K-07 Country See Table 5. If it is not found in the table, please write 99.K-08 Zipcode

PAGE 2

K-09 Form NumberK-10 Parent’s Name K-11 Parents’ Salary K-12 Parents’ ReligionK-13 Parent’s AddressK-14 RT & RW K-15 Province & City See Table 4. If it is not found in the table, please write 00.K-16 Country See Table 5. If it is not found in the table, please write 99.K-17 Zipcode

PAGE 3

K-18 Form NumberK-19 GenderK-20 Marital StatusK-21 ReligionK-22 CitizenshipK-23 Blood TypeK-24 Rhesus FactorK-25 Phone NumberK-26 Mobile Phone NumberK-27 EAT Certificate NumberK-28 Student’s E-Mail AddressK-29 Parents’ Education K-30 Parents’ Occupation

HALAMAN 1

K-01 No. FormulirK-02 Nama Calon MahasiswaK-03 Tempat Dan Tanggal Kelahiran Lihat Tabel 5 untuk kode Negara. Bila tidak terdapat pada tabel, isi dengan 99. Lihat Tabel 4 untuk kode Propinsi dan kode Kota. Bila tidak terdapat pada tabel, isi dengan 00. Contoh:JakartaSelatan,16Sept1995→ 000101 160995.K-04 Alamat Calon MahasiswaK-05 RT & RWK-06 Provinsi & Kota Lihat Tabel 4. Bila tidak terdapat pada tabel, isi dengan 00. K-07 Negara Lihat Tabel 5.Bila tidak terdapat pada tabel, isi dengan 99.K-08 Kode Pos

HALAMAN 2

K-09 No. FormulirK-10 Nama Orang TuaK-11 Penghasilan Orang TuaK-12 Agama Orang Tua K-13 Alamat Orang TuaK-14 RT & RWK-15 Provinsi & Kota Lihat Tabel 4. Bila tidak terdapat pada tabel, isi dengan 00.K-16 Negara Lihat Tabel 5. Bila tidak terdapat pada tabel, isi dengan 99.K-17 Kode Pos

HALAMAN 3

K-18 No. FormulirK-19 Jenis KelaminK-20 Status Sipil K-21 AgamaK-22 KewarganegaraanK-23 Golongan DarahK-24 RhesusK-25 No. Telepon RumahK-26 No. HPK-27 NomorSertifikatEATK-28 E-Mail MahasiswaK-29 Pendidikan Orang Tua K-30 Pekerjaan Orang Tua

GUIDELINES FOR COMPLETING THE ADMISSION FORMPETUNJUK PENGISIAN FORMULIR PENDAFTARAN

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K-31 No. HP Orang TuaK-32 E-Mail Orang Tua

HALAMAN 4

K-33 No. FormulirK-34 Kode Pilihan Jurusan Lihat Tabel 2 K-35 Jalur MasukK-36 BeasiswaK-37 Kode SMA Lihat Tabel 6 Bila tidak terdapat pada tabel, kosongkan kolom tersebut.K-38 Lokasi SMA Lihat Tabel 5 untuk kode Negara. Bila tidak terdapat pada tabel, isi dengan 99. Lihat Tabel 4 untuk kode Propinsi dan kode Kota. Bila tidak terdapat pada tabel, isilah dengan 00.K-39 Jurusan SMA Lihat Tabel 3 untuk Kode Jurusan SMA. Bila tidak terdapat pada tabel, isi dengan 000.K-40 Lokasi Kampus UPH Lihat Tabel 1K-41 Nilai UAN SMP Sudah JelasK-42 Nilai Rapor Kelas 10 Semester 1 Isilah kolom dengan nilai rapor kelas 10 Semester 1, untuk bidang studi Matematika, Bahasa Inggris, Kimia/Ekonomi, Biologi/ Geografi,Fisika/Sosiologi.Contoh: Nilai Matematika Anda 75 maka ditulis 75,00.K-43 Nilai Rapor Kelas 10 Semester 2 Isilah kolom dengan nilai rapor kelas 10 Semester 2. Lihat contoh K-42.K-44 Nilai Rapor Kelas 11 Semester 1 Isilah kolom dengan nilai rapor kelas 11 Semester 1. Lihat contoh K-42.K-45 Nilai Rapor Kelas 11 Semester 2 Isilah kolom dengan nilai rapor kelas 11 Semester 2. Lihat contoh K-42.K-46 Data Saudara Kandung Isilah kolom ini dengan data bulan dan tahun lahir saudara kandung Anda.

K-31 Parents’ Handphone K-32 Parent’s E-Mail Address

PAGE 4

K-33 Form NumberK-34 Major Chosen See Table 2K-35 Entry OptionK-36 ScholarshipK-37 High School Code See Table 6 If it is not found, leave the column blank.K-38 High School Location See Table 5 for the Country Code. If it is not found in the table, please write 99. See Table 4 for the Code of Province and Code of City. If it is not found in the table, please write 00.K-39 High School Major See Table 3 for the High School Major Code. If it is not found in the table, please write 000.K-40 UPH Campus Location See Table 1K-41 Junior High School Final Examination Score ClearK-42 Score in School’s Report Grade 10 Semester 1 Fill in this column with your score in School’s Report Grade 10 Semester 1 for Mathematics, English, Chemistry/ Economic, Biology/ Geography and Physics/ Sociology. For example: Your Mathematics’ score is 75 then your score should be written as follows: 75, 00.K-43 Score in School’s Report Grade 10 Semester 2 Fill in this column with your score in School’s Report Grade 10 Semester 2. See K-42K-44 Score in School’s Report Grade 11 Semester 1 Fill in this column with your score in School’s Report Grade 11 Semester 1. See K-42K-45 Score in School’s Report Grade 11 Semester 2 Fill in this column with your score in School’s Report Grade 11 Semester 2. See K-42K-46 Siblings Fill in the column with the month & year of birth of your siblings.

TABL

ES

30

TABLE 1CAMPUS LOCATION CODE

KODE LOKASI KAMPUS

NO LOCATION/LOKASI CODE /KODE

1 Universitas Pelita Harapan - Karawaci 1

2 Universitas Pelita Harapan - Surabaya 2

3 Universitas Pelita Harapan - Semarang (will be opened) 3

4 Universitas Pelita Harapan – Medan (will be opened) 4

011 Management 051 Law 542 Travel Industry Management

012 Accounting 061 Music 543 Hospitality Management (D IV Ext)

021 Civil Engineering 071 Medicine 544 Travel Industry Management (D IV Ext)

022 Architecture 081 Information Systems 701 Double Degree Mathematics & Informatics

023 Visual Communication and Design 082 Informatics 702

Double Degree Management & Travel Industry Management

024 Interior Design 083 Computer Technology 703 Double Degree Management & Hospitality Management

025 Product Design 101 English 704 Double Degree Management & Mathematics

032 Electrical Engineering 112 Applied Mathematics 705 Double Degree Management & Food Technology

033 Industrial Engineering 113 Biotechnology 706 Double Degree Management & Computer Technology

034 Food Technology 121 Psychology 707 Double Degree Accounting & Information System

041 Communications 501 Nursing

043 International Relations 541 Hospitality Management

CODEKODE

MAJOR JURUSAN

CODEKODE

MAJOR JURUSAN

CODEKODE

MAJOR JURUSAN

TABLE 2MAJOR CODE

KODE JURUSAN

TABLE 3HIGH SCHOOL MAJOR CODE

KODE JURUSAN SMA

CODEKODE

MAJOR JURUSAN

CODEKODE

MAJOR JURUSAN

NATIONAL CURRICULA INTERNATIONAL CURRICULA011 Science/Ilmu Pengetahuan Alam 051 International Baccalaureate012 Social/Ilmu Pengetahuan Sosial 052 Cambridge A Level019 Others/Lain-lain 053 Cambridge AS Level

054 Cambridge O Level059 Others

31

TABL

ES

TABLE 4 CODE OF PROVINCE AND CODE OF DISTRICT/ADMINISTRATIVE CITY/REGION

KODE PROPINSI DAN KODE KOTAMADYA/KOTA ADMINISTRATIF/KABUPATEN

DKI Jakarta (01) 36 Kab. Purworejo 52 Kab. Bojonegoro

01 Jakarta Selatan 37 Kab. Wonosobo 53 Kab. Tuban

02 Jakarta Timur 38 Kab. Magelang 54 Kab. Lamongan

03 Jakarta Pusat 39 Kab. Boyolali 55 Kab. Gresik

04 Jakarta Barat 40 Kab. Klaten 56 Kab. Bangkalan

05 Jakarta Utara 41 Kab. Sukoharjo 57 Kab. Sampang

06 Kab. Kepulauan Seribu 42 Kab. Wonogiri 58 Kab. Pamekasan

Banten (28) 43 Kab. Karang Anyar 59 Kab. Sumenep

31 Kab. Tangerang 44 Kab. Karang Anyar 48 Kab. Nganjuk

32 Kab. Serang 45 Kab. Grobongan 60 Kab. Situbondo

33 Kab. Pandeglang 48 Kab. Pati 22 Kota Batu

34 Kab. Lebak 49 Kab. Kudus 45 Kab. Sidoarjo

22 Kota Cilegon 50 Kab. Jepara 46 Kab. Mojokerto

21 Kota Tangerang 51 Kab. Demak 47 Kab. Jombang

Jawa Barat (02) 52 Kab. Semarang 49 Kab. Madiun

01 Kodya Bandung 53 Kab. Temanggung 50 Kab. Magetan

02 Kodya Bogor 54 Kab. Kendal 51 Kab. Ngawi

03 Kodya Sukabumi 55 Kab. Batang Bali (22)

04 Kodya Cirebon 56 Kab. Pekalongan 32 Kab. Bangli

33 Kab. Bogor 57 Kab. Pemalang 33 Kab. Gianyar

34 Kab. Sukabumi 58 Kab. Tegal 34 Kab. Jembrana

35 Kab. Cianjur 59 Kab. Brebes 35 Kab. Karang Asem

36 Kab. Bandung 46 Kab. Blora 37 Kab. Klungkung

37 Kab. Garut 47 Kab. Rembang 38 Kab. Tabanan

38 Kab. Tasikmalaya D.I. Yogyakarta (04) 31 Kab. Badung

39 Kab. Ciamis 01 Kodya Yogyakarta 39 Kab. Buleleng

40 Kab. Kuningan 31 Kab. Kulon Progo 21 Kota Denpasar

41 Kab. Cirebon 32 Kab. Bantul Sumatera Barat (08)

42 Kab. Majalengka 33 Kab. Gunung Kidul 01 Kodya Padang

43 Kab. Sumedang 34 Kab. Sleman 02 Kodya Solok

45 Kab. Indramayu Jawa Timur (05) 03 Kodya Sawah Lunto

46 Kab. Purwakarta 01 Kodya Surabaya 04 Kodya Padang Panjang

47 Kab. Karawang 02 Kodya Mojokerto 05 Kodya Bukit Tinggi

48 Kab. Bekasi 03 Kodya Malang 06 Kodya Payakumbuh

49 Kab. Subang 04 Kodya Pasuruan 31 Kab. Pesisir Selatan

05 Kota Banjar 05 Kodya Kediri 32 Kab. Solok

23 Kota Bekasi 06 Kodya Blitar 34 Kab. Tanah Datar

25 Kota Cimahi 07 Kodya Probolinggo 35 Kab. Padang Pariaman

24 Kota Depok 08 Kodya Madiun 36 Kab. Agam

22 Kota Tasikmalaya 31 Kab. Pacitan 37 Kab. Limapuluh Kota

Jawa Tengah (03) 32 Kab. Ponorogo 38 Kab. Pesaman

01 Kodya Magelang 33 Kab. Trenggalek 39 Kab. Dharmas Jaya

02 Kodya Surakarta 34 Kab. Tulung Agung 40 Kab. Kepulauan Mentawai

03 Kodya Salatiga 35 Kab. Blitar 41 Kab. Pasaman Barat

04 Kodya Semarang 36 Kab. Kediri 33 Kab. Sawah Lunto Sijunjung

05 Kodya Pekalongan 37 Kab. Malang 42 Kab. Solok Selatan

06 Kodya Tegal 38 Kab. Lumajang 22 Kota Pariaman

31 Kab. Cilacap 39 Kab. Jember Nanggroe Aceh Darussalam (06)

32 Kab. Banyumas 40 Kab. Banyuwangi 01 Kodya Banda Aceh

33 Kab. Purbalingga 41 Kab. Bondowoso 02 Kodya Sabang

34 Kab. Banjarnegara 42 Kab. Panarukan 31 Kab. Aceh Selatan

35 Kab. Kebumen 43 Kab. Probolinggo 32 Kab. Aceh Tenggara

KODE WILAYAH NAMA WILAYAH KODE

WILAYAH NAMA WILAYAH KODE WILAYAH NAMA WILAYAH

TABL

ES

32

Nanggroe Aceh Darussalam (06) 32 Kab. Solok 37 Kab. Muko-Muko

33 Kab. Aceh Timur 34 Kab. Tanah Datar 33 Kab. Rejang Lebong

34 Kab. Aceh Tengah 35 Kab. Padang Pariaman 38 Kab. Seluma

35 Kab. Aceh Barat 36 Kab. Agam Bangka Belitung (30)

36 Kab. Aceh Besar 37 Kab. Limapuluh Kota 01 Kodya Pangkal Pinang

37 Kab. Aceh Utara 38 Kab. Pesaman 31 Kab. Bangka

38 Kab. Pidie 39 Kab. Dharmas Jaya 32 Kab. Belitung

39 Kab. Aceh Barat Daya 40 Kab. Kepulauan Mentawai 33 Kab. Bangka Barat

40 Kab. Aceh Jaya 41 Kab. Pasaman Barat 34 Kab. Bangka Tengah

41 Kab. Aceh Singkil 33 Kab. Sawah Lunto Sijunjung 35 Kab. Bangka Selatan

42 Kab. Aceh Tamiang 42 Kab. Solok Selatan 36 Kab. Belitung Timur

43 Kab. Bener Merah 22 Kota Pariaman Lampung (12)

44 Kab. Bireuen Sumatera Selatan (11) 02 Kodya Bandar Lampung

45 Kab. Gayo Lues 01 Kodya Palembang 31 Kab. Lampung Selatan

46 Kab. Nagan Raya 22 Kotip Prabumulih 32 Kab. Lampung Tengah

47 Kab. Simeulue 31 Kab. Ogan Komering Hulu 33 Kab. Lampung Utara

48 Kota Langsa 32 Kab. Ogan Komering Hilir 34 Kab. Lampung Barat

49 Kota Lhokseumawe 33 Kab. Muara Enim / Liot 35 Kab. Lampung Timur

Sumatera Utara (07) 34 Kab. Lahat 33 Kab. Kepulauan Talaud

01 Kodya Medan 35 Kab. Musi Rawas 36 Kab. Minahasa Selatan

02 Kodya Sibolga 36 Kab. Musi Banyuasin 37 Kab. Minahasa Utara

03 Kodya Tanjung Balai 39 Kab. Banyuasin 38 Kab. Sangihe

04 Pematang Siantar 40 Kab. Ogan Ilir 21 Kota Bitung

05 Kodya Tebing Tinggi 41 Kab. Oku Selatan 22 Kota Tomohon

06 Kodya Binjai 42 Kab. Oku Timur 36 Kab. Tenggamus

31 Kab. Nias 21 Kota Lubuk Linggau 37 Kab. Tulang Bawang

32 Kab. Tapanuli Selatan 24 Kab. Pagar Alam 38 Kab. Way Kanan

33 Kab. Tapanuli Tengah Riau (09) 21 Kota Metro

34 Kab. Tapanuli Utara 01 Kodya Pekan Baru Jambi (10)

35 Kab. Labuhan Ratu 31 Kab. Indragiri Hulu 01 Kodya Jambi

36 Kab. Asahan 32 Kab. Indragiri Ilir 34 Kab. Batang Hari

37 Kab. Simalungun 34 Kab. Kampar 36 Kab. Kerinci

38 Kab. Dairi 35 Kab. Bengkalis 38 Kab. Bungo

39 Kab. Karo 36 Kab. Kuantan Singingi 39 Kab. Merangin

40 Kab. Deli Serdang 37 Kab. Pelalawan 40 Kab. Muaro Jambi

42 Kab. Humbang Hasundutan 38 Kab. Rokan Hilir 41 Kab. Sarolangon

43 Kab. Langkat 39 Kab. Rokan Hulu 42 Kab. Tanjung Jabung Barat

44 Kab. Mandailing Natal 40 Kab. Siak 43 Kab. Tanjung Jabung Timur

45 Kab. Nias Selatan 21 Kota Dumai 44 Kab. Tego

46 Kab. Pak Pak Barat 32 Kab. Karimun Sulawesi Tengah (18)

47 Kab. Samosir 31 Kab. Kepulauan Riau 34 Kab. Donggala

48 Kab. Serdang Bedagai 33 Kab. Lingga 35 Kab. Banggai

49 Kab. Toba Samosir 34 Kab. Natuna 36 Kab. Poso

21 Kota Padang Sidempuan 01 Kodya Batam 37 Kab. Banggai Kepulauan

Sumatera Barat (08) 21 Kota Tanjung Pinang 38 Kab. Buol

01 Kodya Padang Bengkulu (26) 39 Kab. Morowali

02 Kodya Solok 01 Kodya Bengkulu 40 Kab. Parigi Moutong

03 Kodya Sawah Lunto 31 Kab. Bengkulu Selatan 41 Kab. Toli-Toli

04 Kodya Padang Panjang 32 Kab. Bengkulu Utara 21 Kota Palu

05 Kodya Bukit Tinggi 34 Kab. Kaur Sulawesi Tenggara (20)

06 Kodya Payakumbuh 35 Kab. Kepahyang 32 Kab. Buton

31 Kab. Pesisir Selatan 36 Kab. Lebong 35 Kab. Kolaka

KODE WILAYAH NAMA WILAYAH KODE

WILAYAH NAMA WILAYAH KODE WILAYAH NAMA WILAYAH

CONTINUED (LANJUTAN) CODE OF PROVINCE AND CODE OF DISTRICT/ADMINISTRATIVE CITY/REGION

KODE PROPINSI DAN KODE KOTAMADYA/KOTA ADMINISTRATIF/KABUPATEN

33

TABL

ES

Sulawesi Tenggara (20) 34 Kab. Mamuju Utara Kalimantan Timur (16)

36 Kab. Muna 35 Kab. Polewali Mandar 01 Kodya Samarinda

37 Kab. Bombana Gorontalo (32) 02 Kodya Balikpapan

38 Kab. Kolaka Utara 01 Kodya Gorontalo 31 Kab. Berau

39 Kab. Konawe 31 Kab. Gorontalo Nusa Tenggara Barat (23)

40 Kab. Konawe Selatan 32 Kab. Boalemo 31 Kab. Bima

41 Kab. Wakatobi 33 Kab. Bone Bolango 33 Kab. Lombok Barat

22 Kota Bau Bau 34 Kab. Pahuwato 34 Kab. Lombok Tengah

21 Kota Kendari Kalimantan Barat (13) 35 Kab. Lombok Timur

Sulawesi Selatan (19) 01 Kodya Pontianak 36 Kab. Sumbawa

02 Kodya Pare Pare 31 Kab. Pontianak 32 Kab. Dompu

31 Kab. Selayar 32 Kab. Sambas 37 Kab. Sumbawa Barat

33 Kab. Bantaeng 33 Kab. Sanggau 21 Kota Mataram

35 Kab. Takalar 34 Kab. Ketapang 22 Kota Bima

36 Kab. Gowa 35 Kab. Sintang Nusa Tenggara Timur (24)

37 Kab. Sinjai 36 Kab. Kapuas Hulu 33 Kab. Timor Tengah Selatan

38 Kab. Bone 37 Kab. Bengkayang 34 Kab. Timor Tengah Utara

39 Kab. Maros 38 Kab. Landak 35 Kab. Belu

41 Kab. Barru 39 Kab. Melawi 36 Kab. Alor

42 Kab. Soppeng 40 Kab. Sekadau 37 Kab. Flores Timur

43 Kab. Wajo 41 Kab. Sintang 38 Kab. Sikka

44 Kab. Sidenreng Rappang 21 Kota Singkawang 39 Kab. Ende

45 Kab. Pinrang Kalimantan Selatan (15) 41 Kab. Manggarai

46 Kab. Parekang 01 Kodya Banjarmasin 42 Kab. Kupang

47 Kab. Luwu 31 Kab. Tanah Laut 43 Kab. Lembata

48 Kab. Tana Toraja 32 Kab. Kota Baru 44 Kab. Manggarai Barat

32 Kab. Bulukumba 33 Kab. Banjar 40 Kab. Ngada

52 Kab. Enrekang 34 Kab. Baritokuala 45 Kab. Rote Ndao

34 Kab. Janeponto 39 Kab. Tabalong 46 Kab. Sumba Barat

53 Kab. Luwu Timur 40 Kab. Balangan 32 Kab. Sumba Timur

54 Kab. Luwu Utara 36 Kab. Hulu Sungai Selatan 21 Kota Kupang

40 Kab. Pangkajene Kepulauan 37 Kab. Hulu Sungai Tengah Maluku (21)

21 Kota Makasar 38 Kab. Hulu Sungai Utara 01 Kodya Ambon

22 Kota Palopo 41 Kab. Tanah Bumbu 31 Kab. Maluku Tenggara

Sulawesi Utara (17) 35 Kab. Tapin 32 Kab. Maluku Tengah

01 Kodya Manado 22 Kota Banjar Baru 35 Kab. Aru

31 Kab. Minahasa Kalimantan Tengah (14) 36 Kab. Buru

35 Kab. Bolaang Mongondow 01 Kodya Palangkaraya 37 Kab. Maluku Tenggara Barat

Sulawesi Barat (31) 31 Kab. Kota Waringin Barat 38 Kab. Seram Bagian Barat

31 Kab. Majene 32 Kab. Kota Waringin Timur 39 Kab. Seram Bagian Timur

32 Kab. Mamuju 33 Kab. Katingan Maluku Utara (33)

33 Kab. Mamasa 34 Kab. Kapuas 32 Kab. Halmahera Tengah

32 Kab. Bulungan 38 Kab. Gunung Mas 31 Kab. Maluku Utara

34 Kab. Pasir 39 Kab. Murung Raya 33 Kab. Halmahera Barat

35 Kab. Kutai Barat 35 Kab. Barito Selatan 34 Kab. Halmahera Selatan

36 Kab. Kutai Kartanegara 36 Kab. Barito Timur 35 Kab. Halmahera Timur

37 Kab. Kutai Timur 37 Kab. Barito Utara 36 Kab. Halmahera Utara

38 Kab. Malinau 41 Kab. Lamandau 37 Kab. Kepulauan Sula

39 Kab. Nunukan 42 Kab. Pulang Pisau 21 Kota Ternate

40 Kab. Penajam Paser Utara 40 Kab. Seruyan 22 Kota Tidore Kepulauan

41 Kota Bontang 43 Kab. Sukamara Papua (25)

21 Kota Tarakan 32 Kab. Jayapura

KODE WILAYAH NAMA WILAYAH KODE

WILAYAH NAMA WILAYAH KODE WILAYAH NAMA WILAYAH

CONTINUED (LANJUTAN) CODE OF PROVINCE AND CODE OF DISTRICT/ADMINISTRATIVE CITY/REGION

KODE PROPINSI DAN KODE KOTAMADYA/KOTA ADMINISTRATIF/KABUPATEN

TABL

ES

34

CONTINUED (LANJUTAN) CODE OF PROVINCE AND CODE OF DISTRICT/ADMINISTRATIVE CITY/REGION

KODE PROPINSI DAN KODE KOTAMADYA/KOTA ADMINISTRATIF/KABUPATEN

Papua (25) Papua Barat (34)

34 Kab. Merauke 33 Kab. Fak-Fak

35 Kab. Paniai 34 Kab. Manokwari

40 Kab. Asmat 31 Kab. Sorong

41 Kab. Biak Numfor 35 Kab. Kaimana

42 Kab. Bovel Digoel 36 Kab. Raja Ampat

43 Kab. Jayawijaya 32 Kab. Sorong Selatan

44 Kab. Keerom 21 Kota Sorong

45 Kab. Mappi

46 Kab. Mimika

47 Kab. Nabire

48 Kab. Pegunungan Bintang

39 Kab. Puncak Jaya

49 Kab. Sarmi

50 Kab. Supriori

51 Kab. Tolikara

52 Kab. Waropen

53 Kab. Yahukimo

38 Kab. Yapen Waropen

21 Kota Jayapura

KODE WILAYAH NAMA WILAYAH KODE

WILAYAH NAMA WILAYAH

35

TABL

ES

TABLE 5COUNTRY CODE

KODE NEGARA / BANGSA

ASIA AMERICA OCEANIA00 Indonesia 48 United States of America 86 Australia

01 United Arab Emirates 49 Argentina 87 Christmas Island

02 Afghanistan 50 Alaska 88 Fiji Island

03 Bahrain 51 Brazil 89 Polynesia

04 Bangladesh 52 Canada 90 Papua New Guinea

05 Burma 53 Chile 91 New Caledonia

06 China 54 Colombia 92 New Hebrides

07 Cambodia 55 Cuba 93 New Zealand

08 Hong Kong 56 Mexico 99 Others

09 India 57 Panama

10 Iran 58 Venezuela

11 Iraq EUROPE12 Israel 60 Austria

13 Japan 61 Belgium

14 Jordan 62 Bulgaria

15 North Korea 63 Netherlands

16 South Korea 64 Cyprus

17 Kuwait 65 Czech Republic

18 Laos 66 Denmark

19 Lebanon 67 Hongary

20 Macau 68 Ireland

21 Malaysia 69 Italy

22 Pakistan 70 United Kingdom

24 Philippines 71 Germany

25 Saudi Arabia 73 Luxembourg

26 Sri Lanka 74 Poland

27 Singapore 75 Portugal

28 Syria 76 France

29 Thailand 77 Spain

30 Taiwan 78 Sweden

31 Turki 79 Switzerland

32 Vietnam 80 Soviet Union

33 Yaman 81 Greece

AFRICA 82 Yugoslavia

36 Algeria

37 Libya

38 Morocco

39 Egypt

40 Madagascar

41 Nigeria

42 Sudan

43 Tanzania

44 Tunisia

45 Uganda

KODE NEGARA NAMA NEGARA KODE

NEGARA NAMA NEGARA KODE NEGARA NAMA NEGARA

TABL

ES

36

A. PULAU JAWAWilayah Jabodetabek

(Jakarta, Bogor, Depok, Tangerang, Serpong & Bekasi)

SGO Negeri 31712767

SMA 17 Agustus 45, Tebet 31714012

SMA 28 Oktober 1928, Warung Buncit 31714027

SMA Adi Luhur, Balekembang 31725952

SMA Al Hikmah, Pulo Gadung 31724366

SMA Al Irsyad, Hasyim Ashari 31734016

SMA Al Washliyah, Jati 31725872

SMA Al-Chasanah, Tanjung Duren 31744011

SMA Alhuda, Cengkareng 31744026

SMA Al-Kamal, Kedoya 31743865

SMA Al-khairiyah, Tanjung Priok 31754013

SMA Al-Kholidin, Melawai 31713855

SMA Al-Muhajirin, Rawa Badak Selatan 31753842

SMA Ananda, Bekasi 00320008

SMA Ananda, Bekasi 01310008

SMA Angkasa 2, Halim Perdana Kusuma 31723861

SMA Angkasa, Halim Pk. 31724231

SMA API, Menteng 31734024

SMA Arena Siswa 1, Gunung Sahari 31734032

SMA Arena Siswa 2, Kenari 31734047

SMA Arena Siswa 4, Koja 31754237

SMA Arena Siswa, Bekasi 01310006

SMA Asisi, Menteng Dalam 31714035

SMA As-syafiiyah 2, Jt. Waringin 31724014

SMA Asysyfiiyah, Bukit Duri 31714043

SMA AsySyukuriyah, Cipondoh, Tangerang

33320034

SMA Atisa Dipamkara, Karawaci 33320036

SMA Attaqwa, Gunung Sahari Utara 31733843

SMA Australian International School, Pejaten Barat

00220013

SMA Avicenna, Jakarta Selatan 00220006

SMA Bahagia II, Kebon Kacang 31734674

SMA Bahariawan 45, Kelapa Gading 31754021

SMA Bakti Putra, Kebayoran Lama Sel 31713853

SMA Baptis Cengkareng, Kapuk 31743831

SMA Barunawati, Slipi 31743866

SMA Bellarminus 2, Bekasi 01310007

SMA Bethel, Jelambar 31754276

SMA Bethel, Petamburan 31733862

SMA Bhakti Idhata, Cilandak 31714051

SMA Bhakti Mulya, Lebak Bulus 31714656

SMA Bhakti Samodra, Klender 31723974

SMA Bhayangkari, Ragunan 31714066

SMA Bhineka Tunggal Ika, Tambora 31744042

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

SMA Bhudaya 2, Duren Sawit 31723859

SMA Bina Bangsa PIK, Jakarta Utara 00620028

SMA Bina Bangsa, Jakarta Barat 31744974

SMA Bina Darma, Senen 31733887

SMA Bina Gama, Kebayoran Lama 00220004

SMA Bina Insani, Bogor 00820004

SMA Bina Kusuma Pesanggrahan 31713861

SMA Bina Lestari, Kuningan 31714194

SMA Bina Siswa, Paseban Dalam 31733961

SMA Bina Tunas Bangsa 00620015

SMA Binatama, Pisangan Lama 31724022

SMA Bintang Kejora, Cengkareng 31744183

SMA Bintang Mas, Penjaringan 31754044

SMA Binus High School, Simpruk 00220001

SMA BKKK Agape, Tangerang 33320018

SMA BKUI, Kebayoran Baru 31714074

SMA BKUI, Pulo 31713856

SMA Boni Siswa, Menteng Pulo 31714082

SMA Borobudur, Cilandak 31714461

SMA BPSK 1, Pondok Kopi 31723856

SMA BPSK, Tanah Abang 31734055

SMA Budaya, Salemba 31734063

SMA Budhaya, Matraman 31724037

SMA Budhi Ciswa, Kemayoran 31734071

SMA Budhi Warman 2, Kramat Jati 31723893

SMA Budhi Warman, Kramat Jati 31724045

SMA Budi Agung, Bandengan 00620002

SMA Budi Anugerah, Krekot 31734272

SMA Budi Luhur, Tangerang 33320020

SMA Budi Mulia, Bogor 31841003

SMA Budi Mulia, Mangga Besar 31734086

SMA Budi Murni Kedoya 31744057

SMA Budi Murni 1, Pasar Rebo 31724084

SMA Budi Murni 2, Kembangan 31743823

SMA Budi Murni 3, Pondok Bambu 31723853

SMA Budi Utomo, Depok 01420008

SMA Budi Waluyo, Petogogan 31713854

SMA Bukit Sion, Jakarta Barat 00520025

SMA Bunda Hati Kudus, Jelambar 31744065

SMA Bunda Hati Kudus, Kota Wisata Bogor

00820010

SMA Bunda Kandung, Pasar Minggu 31713956

SMA Bunda Mulia International School 00620023

SMA Bunda Mulia, Petojo 00420011

SMA Bunga Harapan, Barat 31743963

SMA Bunga Hati Bangsa 00620014

SMA Cahaya Kudus, Pluit 31753831

SMA Cahaya Sakti, Jatinegara 31724111

SMA Cakra Buana, Depok 01420003

SMA Cakra Buana, Tegal Alur 31743830

SMA Cawang Baru 1, Cawang Baru 31724103

SMA Cempaka, Cempaka Putih Barat 31733856

SMA Cendrawasih II, Pondok Aren 33320016

SMA Cendrawasih, Gandaria Selatan 31714101

SMA Cengkareng, Cengkareng 31744251

SMA Central School, Jakarta Barat 00520026

SMA Chandra Kusuma, Kapuk Muara 31753841

SMA Chandra Naya, Gajah Mada 31744073

SMA Charitas, Lebak Bulus 31714654

SMA Cikra, Rawamangun 31723826

SMA Cindera Mata, Bekasi 01320012

SMA Cipta Karya, Cawang 31724006

SMA Cita Buana, Jakarta Selatan 00220008

SMA Citra Kasih, Cimone, Tangerang 33320027

SMA Corpatarin, Pondok Kopi 31723854

SMA Daar El-Qolam, Balaraja-Tangerang 33320022

SMA Damai Mekar, Bogor 00820007

SMA Damai, Duri Selatan 31743851

SMA Darul Marif, Cipete 31714116

SMA Darum Mu’minin, Jatinegara 31724304

SMA Darussalam, Pondok Labu 31714573

SMA Dewi Sartika, Balimester 31723832

SMA Dewi Sartika, Jatiuwung 33320033

SMA Dewi Sartika, Tebet 31713917

SMA Dhammasavana, Jembatan Dua 31743947

SMA Dharma Bhakti , Sunter Agung 31753847

SMA Dharma Bhakti, Cempaka Putih 31733872

SMA Dharma Budhi Bakti, Jakarta Utara 00620010

SMA Dharma Jaya, Jelambar 31743836

SMA Dharma Karya Ut 33320028

SMA Dharma Karya, Kebayoran Baru 31714132

SMA Dharma Putra, Kebon Bawang 31753848

SMA Dharma Putra, Tangerang 33320010

SMA Dharma Satria, Pejagalan 31753840

SMA Dharma Suci, Pejagalan 31753837

SMA Dian Harapan, Cikarang 01320001

SMA Dian Harapan, Daan Mogot, Jak Bar 00520017

SMA Dian Kasih, Jakarta Barat 00520012

SMA Dian Kasih, Tangerang 33320032

SMA Dian Persada, Cipinang Timur 31723823

SMA Diponegoro 2, Cakung 31723862

SMA Diponegoro, Rawamangun 31726036

SMA Don Bosco 1, Pegangsaan Dua 31753857

SMA Don Bosco 2, Pulo Mas 31724416

SMA Don Bosco Seruni, Pondok Indah 31714655

SMA Don Bosco, Mangga Besar 31734113

SMA Dwi Daya 2, Kebayoran Lama 31713867

SMA Dwi Putra, Ciputat-Jakarta Selatan 00220009

SMA Dwi Warna, Bogor 00820002

TABLE 6DAFTAR NAMA dan

KODE SEKOLAH

37

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

SMA Dwi Warna, Bogor 00820002

SMA Dwisaka, Pegan 31733863

SMA Dwisaya I, Kebayoran Baru 31714147

SMA Eka Sakti, Cengkareng Timur 31743833

SMA Eka Sakti, Tanjung Duren 31744096

SMA Eka Wijaya, Bogor 00820014

SMA El Shaddai International School, Jakarta Barat

0520028

SMA El-Syifa, Kampung Setu Ciga 31713864

SMA Fajar Indah, Pademangan Barat 31753859

SMA Fajrul Islam, Kali Deres 31743828

SMA Fatahillah, Grogol 31744107

SMA Fatahillah, Kali bata 31713866

SMA Fons Vitae 1, Matraman 31724061

SMA Fons Vitae 2, Tanjung Priok 31753861

SMA Fons Vitae 3 / Marsudirini, Bekasi 31842003

SMA Fransiskus 2, Kp. Ambon 31724076

SMA Fransiskus, Kramat 31734136

SMA Gajah Mada, Cempaka Putih Barat 31733857

SMA Galatia 1, Wijaya Kusuma 31743843

SMA Galatia 3, Pegadungan 31743826

SMA Galatia, Bekasi 03520003

SMA Gamaliel, Jakarta Utara 00620008

SMA Gandhi Internasional School, Ancol 00620007

SMA Gandhi Memorial International School, Kemayoran

31733848

SMA Gandhi School, Kemayoran 31733844

SMA Gandhi School, Pangandaran Ancol 31753886

SMA Ghandi Poera, Cijantung 31724343

SMA Giki 2, Jakarta Utara 31753926

SMA Gita Kirti 2, Sunter Jaya 31753850

SMA Gitta Kirtti 3, Gandaria Utara 31713858

SMA Global Islamic School, Condet 00320002

SMA Global Jaya, Tangerang 33320019

SMA Global Prestasi, Kalimalang, Bekasi 01320013

SMA GMK, Karet 31714155

SMA Gonzaga, Pasar Minggu 31714631

SMA Guntur, Pejompongan 31734167

SMA Hamasto Institut, Cidodol 31713972

SMA Hang Tuah 1, Cipulir 31713852

SMA Harapan 1, Pramuka Murtado 31734175

SMA Harapan 2, Pramuka Murtado 31733922

SMA Harapan Abadi, Pluit 31753835

SMA Harapan Bangsa, Tangerang 33320004

SMA Harapan Ibu, Pondok Pinang 31713851

SMA Harapan Jaya, Cengkareng 31743874

SMA Harapan Kasih, Penjaringan 31753830

SMA Hasanuddin, Lagoa 31753843

SMA Hias 1, Manggarai 31714163

SMA Hikmah Pendidikan 31723935

SMA Home Schooling Kak Seto 00220012

SMA Hutama, Pondok Gede, Jakarta Timur

00320014

SMA Ibu Pertiwi, Setiabudi 31714476

SMA IIBS Republic of Indonesia, Cikarang

01320009

SMA Insan Cendekia, Serpong 33320005

SMA Insan Kamil, Bogor 00820006

SMA Ipeka Green Ville, Tomang 31744985

SMA IPEKA Internasional, Christian School

00520020

SMA Ipeka Puri, Kembangan Selatan 31743819

SMA Ipeka Sunter, Jakarta Utara 00620005

SMA Islam Al Ma’ruf, Cijantung 31723841

SMA Islam Al-Azhar 1, Kebayoran Baru 31714171

SMA Islam Al-Azhar 2, Pejaten Barat 31713848

SMA Islam Al-Azhar 3, Kebayoran Baru 31713857

SMA Islam Al-Azhar Kemang, Kemang 31714646

SMA Islam Al-Azhar, Bekasi 01320002

SMA Islam Al-Azhar, BSD Serpong 33320007

SMA Islam Al-Azhar, Kelapa Gading 00620011

SMA Islam Al-Azhar, Pegangsaan Dua 31753855

SMA Islam Al-Azhar, Tanjung Barat 00220003

SMA Islam Al-Izhar, Pondok Labu 00220002

SMA Islam Bahagia, Jakarta Barat 31743901

SMA Islam Dian Ilmu, Depok 01420004

SMA Islam Malahayati, Cijantung 31723835

SMA Islam PB Sudirman, Cijantung 31723844

SMA Islam Village, Tangerang 31840012

SMA Jakarta Emerald School 00220010

SMA Jakarta International School 00220007

SMA Jatinegara, Jatinegara 31724277

SMA Jaya, Kemang 31714186

SMA John Calvin Internasional School, Pulo Mas

00320010

SMA Joshua, Palmerah 00520016

SMA Jubele, Sunter Agung 31753787

SMA Kalam Kudus 1, Tangkilio 31744123

SMA Kalam Kudus 2, Duri Kosambi 31743832

SMA Kalam Kudus 3, Green Garden 31744976

SMA Kamandaka, Bogor 00820011

SMA Kanaan, Gunung Sahari 31733861

SMA Kanaan, Tangerang 31840020

SMA Kanisius, Menteng 31734191

SMA Kapin, Pondok Kelapa 31724262

SMA Kapin, Pondok Kopi 31723858

SMA Kartika X-1, Srengseh Sawah 31713862

SMA Kartika, Kebayoran Lama 31713941

SMA Kartini Adnan, Kalisari 31723843

SMA Kartini, Kartini 31734577

SMA Karunia, Jakarta Pusat 31734677

SMA Karya Iman, Jakarta Timur 00320006

SMA Karya Iman, Lippo Cikarang, Bekasi 00320009

SMA Kasgoro, Mampang Prapatan 31713964

SMA Kasgoro, Mangga Besar 31734217

SMA Katolik Abdi Siswa, Duri Kepa 31743857

SMA Katolik Budi Luhur, Ancol 31754195

SMA Katolik Diakonia, Pluit 31753833

SMA Katolik Notre Dame, Kembangan 31743824

SMA Katolik Ricci, Kemenangan 31744131

SMA Katolik Yos Sudarso 00620018

SMA Kebon Jeruk 1, Kebon Jeruk 31744266

SMA Kelapa Dua, Kebon Jeruk 31743955

SMA Kelapa Dua, Kelapa Dua 31743863

SMA Keluarga Widuri, Kebayoran Baru 31713995

SMA Kemala Bhayangkari, Ragunan 31713847

SMA Kemurnian 1, Kemurnian 31744972

SMA Kemurnian 2, Duri Kepa 31743860

SMA Kencana, Sungai Bambu 31753844

SMA Kesatuan, Bogor 31841006

SMA Ketapang 2, Kedoya Utara 31743855

SMA Ketapang, Jakarta Pusat 31734678

SMA Kharismuwita, Pasar Minggu 31714124

SMA Komunitas Homeschooling Berke-mas, Jak-Sel

00220016

SMA Korpri, Bekasi 01320003

SMA KRIS, Menteng 31734225

SMA Kristen Almasih, Jelambar 31743840

SMA Kristen Baptis, Kebon Kosong 31733849

SMA Kristen Berkat, Balimester 31723830

SMA Kristen Bethanie, Pintu Air 31733945

SMA Kristen Immanuel, Wijaya Kusuma 31743835

SMA Kristen Kasih Karunia, Jakarta Barat 00520024

SMA Kristen Nasional Anglo, Jakarta 00420013

SMA Kristen Pancaran Berkat, Jelambar Barat

31743841

SMA Kristen Petra, Joglo 31743821

SMA Kristen Samaria, Tomang 00520011

SMA Kristen Tiara Kasih, Cengkareng 00520010

SMA Kristen Yusuf, Pejagalan 31753836

SMA Ksatria, Percetakan Negara 31734264

SMA Lab School, Cinere 01420007

SMA Lab School, Kebayoran 31713868

SMA Lab School, Rawamangun 31724420

SMA Lamaholot, Bojong Indah 31743897

SMA Lazuardi, Depok 01420005

SMA LPPU A Jaya, Pasar Baru 31733846

SMA M. H. Thamrin, Kalideres 31744243

SMA MABAT, Komp. MABAT 31714565

SMA Madania, Bogor 31841010

SMA Madrasah Aliyah 00210003

SMA Mahatma Gading 00620029

SMA Mahatma Gandhi 00420014

SMA Mahanaim, Bekasi 01320017

SMA Manggarai, Manggarai 31713875

SMA Marco, Kebon Jeruk 31744154

SMA Mardiyuana, Depok 01420001

SMA Mardiyuana/St. Fransiskus, Bogor 31841001

SMA Maria Mediatri, Kuta baru, Tangerang

33320031

38

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

SMA Mark Joseph, Kelapa Gading 00610021

SMA Markus, Tangerang 31840011

SMA Marsudirini, Bogor 01820003

SMA Mater Dei, Pamulang 31840021

SMA Mawar Saron, Jakarta Utara 00620013

SMA Melania , Cempaka Putih Barat 31733858

SMA Methodist, Pejagalan 31753832

SMA Metrop 2, Pisangan Lama 31724254

SMA Metrop. 1, Bendungan Jago 31734627

SMA Metros, Tanjung Priok 31754075

SMA Morning Star Academy, Kuningan 0220024

SMA Mu’amanah, Senayan 31714484

SMA Muawanah, Petukangan Selatan 31713859

SMA Muhammadiyah 1, Kramat 31734287

SMA Muhammadiyah 11, Rawamangun 31723943

SMA Muhammadiyah 12, Matraman 31723927

SMA Muhammadiyah 13, Tomang 31743844

SMA Muhammadiyah 14, Pejompongan 31733914

SMA Muhammadiyah 15, Slipi 31743916

SMA Muhammadiyah 16, Kali Baru 31733953

SMA Muhammadiyah 18, Cipulir 31713850

SMA Muhammadiyah 19, Tebet Barat 31713846

SMA Muhammadiyah 2, Kemayoran 31734295

SMA Muhammadiyah 23, Pondok Bambu 31723852

SMA Muhammadiyah 24, Grogol 31743837

SMA Muhammadiyah 25, Pamulang 33320012

SMA Muhammadiyah 3, Kebayoran Baru 31714205

SMA Muhammadiyah 4, Cawang 31724126

SMA Muhammadiyah 5, Tebet 31714213

SMA Muhammadiyah 6, Slipi 31744162

SMA Mutaqien, Kebon Baru 31713844

SMA Mutiara 1, Kebon Bawang 31753846

SMA Mutiara 17 Agustus, Bekasi 01310005

SMA Mutiara Bangsa 33320038

SMA Mutiara Bangsa 3 00520019

SMA Nasional 1, Bekasi 00320013

SMA Negeri 3, Depok 01410002

SMA Nur-Attaqwa, Jakarta Utara 00610001

SMA Nurul Falah, Semper Timur 31753854

SMA Nurul Huda, Cakung Barat 31723847

SMA Nusa Indah I, Cipete Utara 31713933

SMA Nusa Putra, Tangerang 33320051

SMA Nusantara 1, Tangerang 33320021

SMA Nusantara, Diponegoro 31734314

SMA Nusantara, Jakarta Utara 31754245

SMA Ora Et Labora, BSD Serpong 31840002

SMA Ora Et Labora, Pondok Indah 31714236

SMA PAMI, Pintu Air 31734322

SMA Pancakarya, Tangerang 33310022

SMA Pangudi Luhur 2, Bekasi 03520001

SMA Pangudi Luhur, Kebayoran Baru 31714244

SMA Pangudi Rahayu, Pasar Rebo 31724142

SMA Paramitha 2, Jakarta Pusat 00420015

SMA Paskalis, Sumur Batu 31733850

SMA Patria Wisata 00820013

SMA Patria Wisata, Jakarta Selatan 00220011

SMA Patriot, Petamburan 31744282

SMA Pattimura, Setiabudi 31714252

SMA Pax Patriae, Bekasi 01320014

SMA Pelita 2, Duri Kepa 31743862

SMA Pelita Bangsa, Tangerang 33320008

SMA Pelita Harapan, Cikarang 31842002

SMA Pelita Harapan, Sentul 31841004

SMA Pelita Harapan, Tangerang 31840007

SMA Pelita III, By. Pass 31723982

SMA Pelita Kudus, Wijaya Kusuma 31743842

SMA Pelita, Duri Utara 31743849

SMA Pemb. Nusantara, Kel. Gedong 31724157

SMA Pembangunan 2, Jakarta Pusat 00420003

SMA Pembangunan 3, Cakung 31723912

SMA Pembangunan Jaya, Tangerang 31840022

SMA Perg. Advent 1, Kramat Pulo 31734345

SMA Perg. Advent 2, Salemba 31734635

SMA Perg. Nasional, Kemayoran 31734643

SMA Perg. Nasional, Tebet 31714492

SMA Perg. Rakyat 1, Semanggi 31714267

SMA Perg. Rakyat. 2, Pondok Bambu 31724165

SMA Pergunas, Cempaka Baru 31733852

SMA Perguruan Buddhi, Tangerang 33320006

SMA Perguruan Cikini, Cikini 31734105

SMA Perguruan Cikini, Duren Tiga 31714607

SMA Perguruan Nasional, Cijantung 31723836

SMA Perintis Pembangunan, Jatinegara 31723850

SMA Permai, Pluit 31753888

SMA Permata Bunda, Duri Selatan 31743848

SMA Permata Indah, Pejagalan 31753838

SMA Persamaan, Bogor 00820008

SMA Petra, Joglo 31743821

SMA PGRI 1, Pisangan Lama 31724173

SMA PGRI 10, Utan Kayu 31724134

SMA PGRI 109, Tangerang 33320023

SMA PGRI 11, Slipi 31743924

SMA PGRI 12, Utara 31753934

SMA PGRI 13, Cempaka Putih 31733906

SMA PGRI 19, Kemayoran Gempol 31733851

SMA PGRI 2, Cengkareng 31744297

SMA PGRI 22, Tanjung Barat 31714615

SMA PGRI 3, Pondok Labu 31714445

SMA PGRI 4, Pasar Rebo 31724293

SMA PGRI 5, Cilincing 31753884

SMA PGRI 6, Cempaka Putih 31733937

SMA PGRI 8, Kebon Jeruk 31743932

SMA PGRI, Mangga Besar 31744177

SMA PKBM Bina Sejahtera (paket C), Legok

33310010

SMA PKBM Budi Mulya, Cileduk, Jakarta Selatan

00220014

SMA PKBM Kartini (Paket C), Bekasi 01310003

SMA PKBM Negri 16 (Paket C) 00410003

SMA PKBM Remaja (Paket C) 00610002

SMA PKBM, Perguruan Rakyat, Cengkareng

00510001

SMA Poris Indah 33310021

SMA PPSP IKIP, Rawamangun 31724181

SMA Pramita, Tangerang 33320052

SMA Presiden, Cikarang 01320016

SMA Pribadi, Depok 01420009

SMA Prima Nusantara. Pd. Kelapa 31724327

SMA Providentia, Kebon Jeruk 31744979

SMA PSKD 1, Diponegoro 31734353

SMA PSKD 2, Slamet Riyadi 31724196

SMA PSKD 3, Kwini 31734361

SMA PSKD 4, Kebayoran Baru 31714275

SMA PSKD 5, Penjaringan 31753839

SMA PSKD 7, Depok 01420002

SMA PSKD Mandiri, Jakarta Pusat 00420006

SMA Purnama, Kebayoran Baru 31714283

SMA Pusaka Abadi, Pejagalan 31753828

SMA Puspita 33320039

SMA Puspita sari 33320042

SMA Putra Nusa, Tegal Alur 31743829

SMA Putra Satria, Petukangan Utara 31713860

SMA Raffles Int’ School Christian, Jakarta Selatan

00220005

SMA Rasa Sayang, Duri Kepa 31743856

SMA Rawabadan, Wijaya Kusuma 31743847

SMA Raya, Lubang Buaya 31724351

SMA Reformasi Pembangunan 1, Cipinang Timur

31723824

SMA Regina Pacis, Bogor 31841002

SMA Regina Pacis, Palmerah 31744193

SMA Remaja, Koja 31754083

SMA Ricci 2, Bintaro 31840023

SMA Ruwabadan, BDN Pesing 31744034

SMA S Pemandu, Wijaya Kusuma 31743839

SMA Said Naum, Tanah Abang 31734376

SMA Saint Anthony, Cideng 31733842

SMA Saint Peter SHS 00320012

SMA Samaria Kudus, Meruya Utara 31743822

SMA San Marino, Kalideres 31743827

SMA Sang Timur, Kebon Jeruk 31743861

SMA Santa Lukas 1, Sunter Agung 31753845

SMA Santa Maria Della Strada, Pademangan

00620022

SMA Santa Maria Monica, Bekasi 01320010

SMA Santa Ursula 1, Pasar Baru 31734384

SMA Santika 1, Cijantung 31723834

SMA Santo Andreas, Kedoya 00520008

SMA Santo Paulus, Sunter 00620006

SMA Sapta Kharisma, Cakung Barat 31723848

SMA Sari Mulia, Sukapura 31753853

SMA Sariputra, Hayam Wuruk 31744204

SMA Saudara, Manggarai 31714291

SMA Selatan 1, Palbatu 31714097

39

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

SMA Sentosa, Mangga Besar 31743853

SMA Setia Bhakti, Tangerang 33320024

SMA Setia Mandiri, Kebayoran Baru, Jakarta Selatan

00220015

SMA Sevilla School, Pulomas 00320011

SMA Silaparamita, Cawang 31724207

SMA Singapore International School, PIK 00620019

SMA SKJN, Taman Sari 31744212

SMA Slamet Riyadi, Cijantung 31724215

SMA SLK II IKIP, Halimun 31714503

SMA Spes Patriae, Kemurnian 31743882

SMA Springfield Internasional Cur-riculum, Depok

00320015

SMA St. Alexius, Pondok Bambu 31723851

SMA St. Antonius, Balimester 31723831

SMA St. Bellarminus, Menteng 31734651

SMA St. John, BSD, Tangerang 33320050

SMA St. Kristoforus 2, Perum Taman Lestari

00520001

SMA St. Kristoforus, Jelambar 31743838

SMA St. Laurensia , Tangerang 31840005

SMA St. Leo 2, Kosambi 31744186

SMA St. Leo, Mangga Besar 31744185

SMA St. Lukas 1, Ancol 31753891

SMA St. Nikolas, Jakarta Utara 00620009

SMA St. Patricia 33320046

SMA St. Paulus, Gambir 31734403

SMA St. Peter, Kelapa Gading 00620012

SMA St. Theresia, H. Agus Salim 31734675

SMA St. Ursula 2, Tangerang 31840004

SMA St. Yakobus, Pengangsaan 31753889

SMA St. Yosef, Jakarta Timur 00320003

SMA St. Yoseph, Kebon Jeruk 31744187

SMA Stella Maris, BSD Serpong 31840024

SMA Stella Maris, Pejagalan 31753834

SMA Stella Maris, Penjaringan 31744182

SMA STRADA Budi Luhur, Bekasi 01320015

SMA Strada Thomas Aquino, Tangerang 31840003

SMA Suluh, Pasar Minggu 31714302

SMA Sumbangsih, Setiabudi 31714317

SMA Sunda Kelapa, Menteng 31734411

SMA Swadaya, Duren Sawit 31724223

SMA Swasta, Jakarta Barat 31749012

SMA Swasta, Timur 31729015

SMA Swasta, Utara 31759014

SMA Taman Kemajuan, Kramat Jati 31723951

SMA Taman Madya , Gunung Sahari Selatan

31733854

SMA Taman Madya 1, Kemayoran 31734426

SMA Taman Madya 4, Perc. Negara 31734434

SMA Taman Madya 5, Rawasari 31733859

SMA Taman Sakti, Lubang Buaya 31724335

SMA Tarakanita 1, Kebayoran Baru 31714325

SMA Tarakanita 2, Pluit 31754091

SMA Tarakanita 3, Gading Serpong 31840025

SMA Tarsisius 2, Kebon Jeruk 31743859

SMA Tarsisius Vireta, Tangerang 31840001

SMA Tarsisius, Hasyim Ashari 31734442

SMA Taruna Jaya 2, Kramat 31734465

SMA Taruna, Karet Kuningan 31714333

SMA Teladan 1, Cijantung 31723837

SMA Teladan, Cilincing 31754261

SMA Teladan, Kalibata 31714453

SMA The International School of Bogor 00820009

SMA Tiara Bangsa, Cibubur 00320004

SMA Tirta Marta, Pondok Indah 31713902

SMA Trampil 2, Cililitan 31723845

SMA Tri Arga, Kebon Jeruk 31743854

SMA Tri Bina, Pejagalan 31744227

SMA Tri Ratna, Kel. Krukut 31744316

SMA Tri Utama, Pasar Minggu 31714511

SMA Triana, Petojo Utara 31733841

SMA Tribawa, Gunung Sahari Utara 31733845

SMA Triguna, Kebayoran Baru 31714341

SMA Trinitas, Cengkareng 00520003

SMA Trinitas, Cikarang, Bekasi 01320011

SMA Trisoko, Pondok Gede 31723966

SMA Trisula, Guntur 31714356

SMA Triwibawa 00420010

SMA Tunas Bangsa, Sunter 00620004

SMA Tunas Bangsa, Tangerang 33320017

SMA Tunas Gading, Jakarta Utara 00620016

SMA Tunas Harapan, Bogor 00820003

SMA Tunas Islam, Cijantung 31723838

SMA Tunas Jaka Sampurna, Bekasi 01320004

SMA Tunas Karya, Kelapa Gading 31753858

SMA Tunas Markatin, Rawamangun 31723828

SMA Tunas Muda, Meruya 00520014

SMA Tunas Muda, Meruya 00520021

SMA Universal School, Kemayoran 00420009

SMA Unwanul Huda, Mampang Prapatan 31713891

SMA Uswatun Hasanah , Cipinang Melayu

31723860

SMA Utama 1, Kebun Manggis 31723822

SMA Vianney , Rawa Buaya 31743834

SMA Villa Mas, Pulomas 31723997

SMA Vini Vidi Vici, Cijantung 31723842

SMA Walang Jaya, Jakarta Utara 31753892

SMA Walisongo, Mampang Prapatan 31713883

SMA Waskito, Setiabudi 31714364

SMA Widuri, Kebon Sirih 31734496

SMA Widya Manggala, Cijantung 31723840

SMA Widyasana, Dr. Saharjo 31714581

SMA Wijaya, Sunter 31753876

SMA Wijayakusuma, Bandengan 31754102

SMA Wiyata Mandala, Duren Sawit 31723855

SMA Wiyata Mandala, Kebon Bawang 31753849

SMA Yadika 1, Tanjung Duren 31743845

SMA Yadika 2, Tegal Alur 31743825

SMA Yadika 5, Joglo 31743820

SMA Yadika 7, Bogor 01820002

SMA Yadika 8, Jatimulya, Bekasi 03520004

SMA Yake, Cipinang Besar Utara 31723829

SMA Yakeba, Kalibata 31714372

SMA Yampi, Sunter 31753903

SMA Yapan, Bekasi Timur 31723904

SMA Yapemri, Jatinegara 31724246

SMA Yapenap, Guntur 31714387

SMA Yapenda, Kebon Bawang 31753852

SMA Yapenka 1, Sumur Batu 31733895

SMA Yapenka I, Sumur Batu 31733895

SMA Yaperjasa, Pasar Minggu 31714623

SMA Yapermas, Menteng 31733976

SMA Yapindo 1, Serdang Baru 31734666

SMA Yapis, Ciganjur 31714395

SMA Yappenda, Tanjung Priok 31754117

SMA Yappri Pagi, Kelapa Gading 31753911

SMA YAPPRI, Kel. Gading 31754253

SMA Yapsi, Pasar Jumat 31714526

SMA Yasda, Kuningan 31714596

SMA Yasmu Sudirman, Cijantung 31724092

SMA Yasmu, Sungai Bambu 31753851

SMA Yasmu, Tanjung Priok 31754125

SMA Yaspend Raya, Kereo 31713987

SMA Yaspi, Tanjung Priok 31754133

SMA Yaspita Serpong, Tangerang 33320026

SMA Yasporbi 1, Menteng Dalam 31713843

SMA Yaspri 1, Cakung 31754141

SMA Yaspri 1, Pulo Mas 31723877

SMA Yaspri 2, Cakung 31754156

SMA Yaspri 2, Pulo Gadung 31723885

SMA YBPK, Cikini 31733860

SMA YMCA, Perc. Negara 31734507

SMA YMIK 2, Manggarai 31713845

SMA YMIK Pagi, Senen 31734515

SMA YMIK Sore, Pasar Baru 31734523

SMA YMIK, Manggarai 31714406

SMA Yoel, Cilincing 31754164

SMA Yon Angmor, Tanah Tinggi Barat 31733855

SMA YP IPPI, Gambir 31734546

SMA YP IPPI, Petojo 31734585

SMA YP Mulia, Pondok Pinang 31713849

SMA YP, Dwijaya, Radio Dalam 31714542

SMA YP. IPPI Cakung, Pulo Gebang 31723849

SMA YPK Wijaya, Kebayoran Baru 31714414

SMA YPKP DKI, Cijantung 31723839

SMA YPM, Lenteng Agung 31713865

SMA YPM, Setiabudi 31714534

SMA YPMII, Pademangan 31754172

SMA YPPU Kansantang, Menteng Dalam 31714221

SMA YPR 1, Srengseh Sawah 31713863

SMA YPUI, Kebayoran Lama 31714557

SMA Yupentek 1, Tangerang 33320009

40

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

SMA Yupentek 2, Tangerang 31840013

SMA Yupentek 3, Tangerang 31840014

SMA Yuppentek 4, Tangerang 33320025

SMA Yusha, Koja 31754187

SMAK 1 Bhakti, Bogor 00820012

SMAK 1 BPK Penabur, Bogor 31841007

SMAK 1 BPK Penabur, Tanjung Duren 31744233

SMAK 2 BPK Penabur, Pasar Baru 31733847

SMAK 3 BPK Penabur, Gunung Sahari 31734256

SMAK 4 BPK Penabur, Kedoya 31743858

SMAK 5 BPK Penabur, Kelapa Gading 31753885

SMAK 6 BPK Penabur, Tangerang 31840006

SMAK 7 BPK Penabur, Cipinang 31724423

SMAK Harapan Zaman, Pejagalan 31753829

SMAK IPEKA, Pluit Jakarta Utara 00620020

SMAK Nasional Anglo, Cikarang 03520002

SMAK Pembangunan 2 00520023

SMAK Strada, Daan Mogot 33320049

SMAN 77 00410002

SMAN 1, Bekasi 31842001

SMAN 1, Bogor 31841005

SMAN 1, Budi Utomo 31730011

SMAN 1, Cikarang 03510002

SMAN 1, Cikupa 33310019

SMAN 1, Curug 33310011

SMAN 1, Gubug 33310016

SMAN 1, Pamulang 01110002

SMAN 1, Serpong 33310004

SMAN 1, Tangerang 31840009

SMAN 10, Bekasi 01310002

SMAN 10, Mangga Besar 31730057

SMAN 10, Tangerang 33310007

SMAN 100 , Cipinang Besar Selatan 31720001

SMAN 101, Joglo 31740006

SMAN 102, Cakung Timur 31720009

SMAN 103, Malaka Raya 31720011

SMAN 104, Gedong 31720003

SMAN 105, Kelapa Dua Wetan 31720015

SMAN 106, Pekayon 31720005

SMAN 107, Jati Negara 31720007

SMAN 108, Kebayoran Lama Utara 31710003

SMAN 109, Srengseng Sawah 31710004

SMAN 11, Pulo Gebang 31720006

SMAN 110, Tugu Selatan 31750008

SMAN 111, Penjaringan 31750007

SMAN 112, Sanggrahan Meruya 31740007

SMAN 113, Lubang Buaya 31720013

SMAN 114, Cilincing 31750011

SMAN 115, Rorotan 31750012

SMAN 12, Klender 31720024

SMAN 13, Tangerang 33310025

SMAN 13, Tg. Priok 31750015

SMAN 14, Cililitan 31720055

SMAN 14, Tangerang 33310024

SMAN 15, Ancol 31750023

SMAN 16, Slipi 31740036

SMAN 17, Blandongan 31740044

SMAN 18, Jembatan Baru 31740067

SMAN 18, Warakas 31750010

SMAN 19, Perniagaan 31740075

SMAN 2, Bekasi 31842004

SMAN 2, Bogor 31841008

SMAN 2, Cikarang 01310004

SMAN 2, Depok 01410001

SMAN 2, Gajahmada 00410001

SMAN 2, Tangerang 31840010

SMAN 20, Krekot Bunder 31730065

SMAN 21, Kampung Ambon 31720086

SMAN 22, Utan Kayu 31720105

SMAN 23, Tomang 31740083

SMAN 24, Kj. Jenderal Sudirman 31710092

SMAN 24, Lapangan Tembak 31730146

SMAN 25, Petojo 31730073

SMAN 26, Tebet 31710076

SMAN 27, Rawasari 31730081

SMAN 28, Ragunan 31710084

SMAN 29, Kebayoran Lama 31710103

SMAN 3, Bekasi 31842005

SMAN 3, Bogor 31841009

SMAN 3, Setiabudi 31710022

SMAN 30, Rawasari 31730096

SMAN 31, Pramuka Jaya 31720191

SMAN 32, Cidodol Baru 31710126

SMAN 33, Cengkareng 31740091

SMAN 34, Pondok Labu 31710134

SMAN 35, Karet Tengsin 31730154

SMAN 36, Rawamangun 31720136

SMAN 37, Tebet 31710165

SMAN 38, Srengseng Sawah 31710173

SMAN 39, Cijantung 31720144

SMAN 4, Bekasi 03510001

SMAN 4, Bogor 00810003

SMAN 4, Gambir 31730026

SMAN 4, Tangerang 33310005

SMAN 40, Kj. Cilincing 31750031

SMAN 40, Pademangan 31750046

SMAN 41, Sumur Batu 31730115

SMAN 41, Sunter Agung 31750009

SMAN 42, Halim Pk. 31720152

SMAN 43, Minangkabau 31710181

SMAN 44, Klender 31720256

SMAN 45, Klp. Gading 31750054

SMAN 46, Blok A 31710196

SMAN 47, Tanah Kusir 31710246

SMAN 48, Pondokgede 31720113

SMAN 49, Jagakarsa 31710254

SMAN 5, Bogor 00810001

SMAN 5, Karawaci Baru 33310012

SMAN 5, Sumur Batu 31730034

SMAN 5, Tangerang 03310001

SMAN 50, Cipinang Muara 31720032

SMAN 51, Condet 31720121

SMAN 52, Cilincing 31750062

SMAN 52, Semper Barat 31750013

SMAN 53, Cipinang 31720063

SMAN 54, Jatinegara 31720217

SMAN 55, Duren Tiga 31710014

SMAN 56, Cengkareng 31740125

SMAN 57, Kedoya Raya 31740141

SMAN 58, Pasar Rebo 31720225

SMAN 59, Klender 31720047

SMAN 6, Bogor 00810002

SMAN 6, Kebayoran Baru 31710037

SMAN 6, Tangerang 33310003

SMAN 60, Mampang 31710262

SMAN 61, Jatinegara 31720233

SMAN 62, Kramat Jati 31720241

SMAN 63, Kebayoran Lama 31710277

SMAN 64, Pasar Rebo 31720094

SMAN 65, Kebon Jeruk 31740133

SMAN 66, Pondok Labu 31710142

SMAN 67, Halim Pk 31720202

SMAN 68, Salemba 31730131

SMAN 69, Pulau Seribu 31750077

SMAN 7, Bekasi 01310001

SMAN 7, Gambir 31730042

SMAN 7, Tangerang 33310002

SMAN 70, Bulungan 31710207

SMAN 71, Duren Sawit 31720016

SMAN 72, Utara 31750093

SMAN 73, Tanjung Priok 31750085

SMAN 74, Kebayoran Lama 31710053

SMAN 75, Cilincing 31750104

SMAN 76, Cakung 31720071

SMAN 78, Kemanggisan 31740011

SMAN 79, Menteng Atas 31710001

SMAN 8, Bukit Duri 31710045

SMAN 8, Perumnas, Tangerang 33310008

SMAN 8, Tangerang 33310017

SMAN 81, Rawa Mangun 31720264

SMAN 82, Jakarta Selatan 31710278

SMAN 84, Kalideres 31740010

SMAN 85, Srengseng 31740005

SMAN 86 Bintaro, Jakarta Selatan 00210002

SMAN 87, Pesanggrahan 31710005

SMAN 88, Pasar Rebo 31720175

SMAN 89, Cakung Timur 31720008

SMAN 9 , Kebon Pala 31720012

SMAN 90, Petukangan Selatan 31710006

SMAN 91, Pondok Kelapa 31720010

SMAN 92, Semper Barat 31750014

SMAN 93, Kramat Jati 31720167

41

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

SMAN 94, Semanan 31740008

SMAN 95, Pegadungan 31740009

SMAN 96, Cengkareng Timur 31740012

SMAN 97, Jagakarsa 31710111

SMAN 98, Kalisari 31720002

SMAN 99, Cibubur 31720014

SMAN Atlit Ragunan 31710231

SMAN Cempaka Putih 31730123

SMAN Cijantung 31721012

SMAN Ciputat 31711025

SMAN Grogol 31741016

SMAN Mampang Prapatan 31711017

SMAN Ragunan, Ragunan 31710002

SMEA 2, Cikarang 00110002

SMEA Ketapang, Jakarta Pusat 00420007

SMF (Farmasi) Kristen Penabur 00520013

SMIP Jayawisata 1, Jakarta Pusat 00420005

SMIP St. Laurensia, Serpong 31849001

SMK 2, Gambir, Jakarta Pusat 31735981

SMK 1 BPK Penabur, Tanjung Duren 31745958

SMK 1, Kalideres 31745999

SMK 1, Tanah Abang 31735985

SMK 11 Maret, Rawa Terate 31725972

SMK 17 Agustus 1945, Tebet 31716096

SMK 2 Citra Adhi, Rawa Buaya 31745939

SMK 2, Cempaka Baru 31735988

SMK 28 Oktober 1928, Tegal Parang 31715534

SMK 3, Kedoya Selatan 31745978

SMK Adi Luhur , Balekembang 31725952

SMK Aditama, Cawang 31725942

SMK Al Akhyar 1, Rawa Terate 31725970

SMK Al Akhyar 2, Jatinegara 31725955

SMK Al Falah, Rawa Terate 31725973

SMK Al Fathiyah, Cawang 31725943

SMK Al Huda, Kelapa Dua 31745982

SMK Al Washliyah, Jati 31725872

SMK Al Wathoniyah, Pulo Gebang 31725964

SMK Al-Ansyoriah, Petojo Utara 31735979

SMK Al-Chasanah, Tanjung. Duren Utara 31745952

SMK Al-Hairiyah, Tanjung Priok 31756012

SMK Al-Huda, Cengkareng 31746017

SMK Al-Ihsan, Tanah Abang 31736012

SMK Al-Irsyad, Hasyim Ashari 31736015

SMK Al-Irsyad, Lagoa 31756065

SMK Al-Jihad, Papanggo 31756076

SMK Al-Khairiyah 2, Lagoa 31756061

SMK Al-Khairiyah, Lagoa 31756060

SMK Al-Makmur, Cikini 31736005

SMK Al-Mudatsiriyah, Utan Panjang 31735984

SMK Al-Wasliyah, Kembangan Utara 31746011

SMK Angkasa, Cipayung 31726011

SMK Annida, Pegadungan 31746003

SMK Asisi, Menteng Dalam 31715523

SMK Assa’ad Abadiyah, Kemandoran 31716107

SMK Assyfiyah, Menteng Dalam 31715520

SMK Bahariwan 45, Kelapa Gading 31756055

SMK Balekembang 31725937

SMK Baranangsiang 00820015

SMK Barunawati , Sungai Bambu 31756078

SMK Benteng Gading, Kp. Belakang Kamal

31746002

SMK Berlian , Bidaracina 31725877

SMK Bethanie, Kebon Kelapa 31735978

SMK Bethel, Jelambar 31746025

SMK Bethel, Petamburan 31736013

SMK Bhakti 2, Cipinang Melayu 31726002

SMK Bhakti Anindya, Tangerang 33320037

SMK Bhakti Pertiwi, Cipinang Besar Selatan

31725882

SMK Bhakti, Cawang 31725999

SMK Bhakti, Wijaya Kusuma 31745955

SMK Bhara Trikora 2, Jelambar 31745954

SMK Bhara Trikora I, Jelambar 31745950

SMK Bhineka Tunggal Ika, Tanah Sereal 31745960

SMK Bina Dharma, Cijantung 31725916

SMK Bina Karya Utama, Pulo Gebang 31725965

SMK Bina Karya, Krendang 31745959

SMK Bina Manajemen, Pulo Gebang 31725962

SMK Bina Putra 31715533

SMK Bina Siswa, Sukabumi Utara 31745981

SMK Bina Tama, Pulo Gadung 31725871

SMK Bonaventura I, Pd. Bambu 31726013

SMK Borobudur, Cilandak 31715545

SMK Borobudur, Cipinang Cempedak 31725891

SMK BPS K-II, Pondok Kopi 31725981

SMK BPSK Pembangunan, Pondok Kelapa

31725990

SMK Budaya, Pondok Kelapa 31725988

SMK Budaya/PSKI, Matraman 31726021

SMK Budi Asih 1, Cipayung 31726012

SMK Budi Asih, Cijantung 31725917

SMK Budi Asih, Pasar Manggis 31715528

SMK Budi Daya Insani, Pulo Gadung 31725869

SMK Budi Kemurnian, Duri Kepa 31745983

SMK Budi Luhur, Ancol 31756027

SMK Budi Luhur, Tanah Abang 31736023

SMK Budi Mulia Utama, Pondok Kelapa 31725989

SMK Budi Murni 1, Duren Sawit 31725979

SMK Budi Murni 2, Kedoya Selatan 31745984

SMK Budi Murni 3, Cipinang Cempedak 31725889

SMK Budi Murni 4, Pekayon 31725900

SMK Budi Murni 5, Gedong 31725911

SMK Budi Pekerti, Tambora 31745967

SMK Budi Satria, Bangka 31715532

SMK Budi Utomo, Cawang 31725938

SMK Budi Warman, Pekayon 31725930

SMK Bunda Kandung, Pasar Minggu 31715553

SMK Buntul Kubu, Pondok Kelapa 31725992

SMK Cagar Budaya 2, Pekayon 31725896

SMK Cagar Budaya, Cijantung 31725926

SMK Cahaya Sakti, Balimester 31725884

SMK Cakra Buana, Depok 01420006

SMK Caraka Nusantara, Pulo Gebang 31725978

SMK Cawang , Cipinang Cempedak 31725875

SMK Cendikia, Sunter 31756080

SMK Cendrawasih, Cengkareng 31745942

SMK Cengkareng, Rawa Lele 31745995

SMK Cikra 2, Pulo Gadung 31725862

SMK Cilincing 1, Cilincing 31756094

SMK Cilincing 3, Semper Timur 31756095

SMK Cindra Mata Indah, Duri Utara 31745965

SMK Cipta Karya, Cipinang Cempedak 31725888

SMK Citra Dharma, Gedong 31725907

SMK Corpatarin, Pondok Kelapa 31725985

SMK Darma Bhakti, Cemp. Putih Barat 31736004

SMK Darul Mukminim, Cipinang Muara 31725878

SMK Darul Ulum, Karet Kuningan 31715526

SMK Dewi Sartika, Duri Kepa 31745985

SMK Dhamasavana, Angke 31745963

SMK Dharma Budhi, Sunter Agung 31756087

SMK Dharma Putra, Sunter 31756088

SMK Dharma Suci, Pejagalan 31756050

SMK Dharma Surya , Cipayung 31726010

SMK Dian, Sumur Bor 31745998

SMK Dinamika Pembangunan, Jatinegara 31725956

SMK Diponegoro 2, Rawa Terate 31725968

SMK Diponegoro, Rawamangun 31726036

SMK Dirgantara, Pulo Gadung 31725863

SMK Djadajat, Marunda 31756110

SMK DKI, Pasar Manggir 31715531

SMK Dua Mei, Ciputat, Tangerang 33320047

SMK Duren Sawit, Pondok Kelapa 31725983

SMK Duta Bangsa, Kapuk 31745946

SMK Dwijaya, Kebayoran Baru 31716011

SMK Dwikora, Gn.Sahari Selatan 31735997

SMK Eka Bakti Pertiwi, Joglo 31746006

SMK Eka Sakti, Cengkareng Timur 31745945

SMK Era Pembangunan Umat, Cijantung 31725927

SMK Fensensius, Jati 31725860

SMK Fransiskus, Kramat 31736031

SMK Gandi Poera, Cijantung 31725920

SMK Ganesha, Semper Barat 31756099

SMK Gaya Baru, Rawa Badak 31756035

SMK Giri Kencana, Pekayon 31725902

SMK Gita Kirti 2, Sunter 31756082

SMK Grafika Desa, Lenteng Agung 31715561

SMK Guna Bangsa, Cipinang Besar Selatan

31725883

SMK Gunung Jati, Sungai Bambu 31756081

SMK Hangtuah 1, Kelapa Gading 31756066

42

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

SMK Harapan 1, Rawa Terate 31725974

SMK Harapan Jaya, Kapuk 31745943

SMK Harapan Mulia, Pademangan 31756111

SMK Harapan Raya, Cengkareng Timur 31745940

SMK Harvard, Angke 31745966

SMK Hatawana , Cipinang Cempedak 31725876

SMK Hias, Cipinang Melayu 31726001

SMK Ibu Pertiwi, Setiabudi 31716026

SMK Indonesia, Kramat 31736046

SMK Institut Yakin, Cengkareng 31746033

SMK IPPI Petojo, Petojo Utara 31735983

SMK Iptek, Pulo Gebang 31725961

SMK Islam Al Wahyu, Gedong 31725908

SMK Islam Andalus, Pela Mampang 31715536

SMK Islam Malahayati, Cijantung 31725913

SMK Islam PB Sudirman , Cijantung 31725918

SMK Islam Perti, Tomang 31745957

SMK Islam Yasmin, Cijantung 31725923

SMK Jaya Wisata, Cipinang Melayu 31726006

SMK Jaya, Kelapa Gading 31756054

SMK K Rahmani, Tangki 31745974

SMK Kalpataru, Rawa Terate 31725969

SMK Kampung Jawa, Johar Baru 31735999

SMK Kapin, Gatot Subroto 31715576

SMK Kapin, Pondok Kelapa 31725982

SMK Kartini 2 Jkt, Kartini 31735986

SMK Kartini 3, Pisangan Timur 31725866

SMK Karya Darma, Batu Ampar 31725951

SMK Karya Guna, Manggarai 31715518

SMK Karya Nusa, Semper Timur 31756109

SMK Karya Wijayakusuma, Gedong 31725909

SMK Kasih Ananda, Pegangsaan Dua 31756072

SMK Kawula Indonesia, Pondok Kelapa 31725995

SMK Kebangsaan, Utan Kayu Selatan 31725975

SMK Kebon Jeruk, Sukabumi Utara 31745977

SMK Kelapa Gading , Kelapa Gading 31756062

SMK Kemala Bhayangkara, Cipinang 31725859

SMK Kencana 1, Sungai Bambu 31756090

SMK Kencana 2 31756084

SMK Kencana, Sungai Bambu 31756040

SMK Kesatuan, Rawa Buaya 31745944

SMK Kesdam Jaya, Jakarta Pusat 00420012

SMK Kesosi, Srengseng 31746009

SMK Ketapang, Petojo Utara 31735980

SMK Kramat Jati, Cawang 31725941

SMK Kresna, Cililitan 31725950

SMK Kristen BPK, Pembangunan 31736054

SMK Kristen Widuri, Kebon Sirih 31736062

SMK Ksatrya, Perc. Negara 31736077

SMK Lagoa, Lagoa 31756064

SMK Lamaholot, Rawa Buaya 31745938

SMK Lektur, Kebayoran Baru 31715584

SMK LPPM No. 1, By. Pass 31726052

SMK LPPM No. 2, By. Pass 31726067

SMK LPPU Minpersdam, Gambir 31734612

SMK Ma’arif, Grogol 31745956

SMK Mahadika, Cawang 31725940

SMK Mahardhika 1, Gedong 31725910

SMK Malahayati, Semper Timur 31756108

SMK Malaka, Pondok Kopi 31725998

SMK Manggarai, Manggarai 31715519

SMK Mardi Bhakti, Cijantung 31725919

SMK Maribaya, Kramat Jati 31725944

SMK Markus, Tangerang 33320014

SMK Mekarsari, Pulomas 31726075

SMK Mercusuar, Jatinegara 31725954

SMK Mitra Kencana , Malaka Jaya 31725980

SMK Mth, Kalideres 31746000

SMK Muara Indonesia, Cipinang Muara 31725881

SMK Muhammadiyah 1, Gunung Sahari Selatan

31746013

SMK Muhammadiyah 10, Paseban 31735994

SMK Muhammadiyah 11, Harapan Mulia 31735987

SMK Muhammadiyah 12, Kenari 31735995

SMK Muhammadiyah 12, Tugu Utara 31756053

SMK Muhammadiyah 2, Kb. Melati 31736009

SMK Muhammadiyah 4, Kemanggisan 31745989

SMK Muhammadiyah 5, Kb. Kacang 31736010

SMK Muhammadiyah 7, Tebet Timur 31715521

SMK Mutiara 1, Kebon Bawang 31756077

SMK Nasional Alfan, Dukuh 31725949

SMK Negeri 1, Tangerang 33310014

SMK Negeri 2, Tangerang 33310013

SMK Negeri 3, Tangerang 33320035

SMK Nurul Huda, Pulo Gebang 31725963

SMK Nurul Islam, Pondok Kelapa 31725986

SMK Nusantara 1, Cilincing 31756102

SMK Nusantara 2, Semper Barat 31756107

SMK Nusantara, Pekayon 31725893

SMK Otomindo , Pekayon 31725901

SMK Pancasila, Rawa Terate 31725971

SMK Pandawa, Cipinang Muara 31725880

SMK Pangeran Wijaya Kusuma, Ceng-kareng Brt

31745941

SMK Pangudi Rahayu, Cijantung 31725924

SMK Papanggo 31756093

SMK Pariwisata Cantika Wisata, Pondok Kelapa

31725997

SMK Pariwisata Cikra 1, Pulo Gadung 31725870

SMK Pariwisata Mahadika 3, Gedong 31725934

SMK Pariwisata Paramita, Pondok Kelapa 31725996

SMK Pelayaran Baruna, Cipinang Melayu 31726005

SMK Pelayaran Jaya, Kelapa Gading 31756071

SMK Pelayaran Nasional, Tanjung Priok 31756092

SMK Pelayaran Pembangunan, Gedong 31725932

SMK Pelita 2, Manggarai 31715524

SMK Pelita IV, Duri Utara 31745961

SMK Pelita Tiga No.1, Pisangan Timur 31725873

SMK Pembangunan, Bogor 01820001

SMK Pembangunan, Pemuda 31721526

SMK Pemda DKI, Jelambar 31746041

SMK Perbankan Nasional, Rawa Terate 31725967

SMK Perdana Kusuma, Cipayung 31726009

SMK Perdana, Pondok Kelapa 31725991

SMK Perg. Ksatria, Cempaka Putih Barat 31736000

SMK Perguruan Cikini, Rawa Badak Utara

31756056

SMK Perintis Nasional , Kebon Bawang 31756091

SMK Perkapalan, Mampang Prapatan 31715592

SMK Permata Bunda, Duri Selatan 31745962

SMK Permata Indah, Pejagalan 31756051

SMK Persahabatan, Rawamangun 31725868

SMK Pertiwi, Cijantung 31725928

SMK Petri Jaya, Pondok Kelapa 31725993

SMK PGRI 1, Cipinang Melayu 31726003

SMK PGRI 1, Tangerang 33310023

SMK PGRI 10, Pasar Baru 31731744

SMK PGRI 12, Krukut 31745969

SMK PGRI 13, Taman Sari 31745970

SMK PGRI 15, Duri Kepa 31745987

SMK PGRI 16, Cijantung 31725921

SMK PGRI 17, Rawamangun 31725865

SMK PGRI 19, Pekayon 31725898

SMK PGRI 2 , Kembangan Utara 31746008

SMK PGRI 2, Rorotan 31756097

SMK PGRI 20, Pekayon 31725895

SMK PGRI 21, Rawamangun 31725861

SMK PGRI 22, Kampung Bali 31731756

SMK PGRI 25, Karet Tengsin 31736014

SMK PGRI 26, Pluit 31756044

SMK PGRI 27, Garuda 63, Gn. Sahari Selatan

31746015

SMK PGRI 28, Gedong 31725931

SMK PGRI 29, Slipi 31745991

SMK PGRI 3, Marunda 31756101

SMK PGRI 30, Pejokan 31745964

SMK PGRI 31, Bend. Hilir 31731758

SMK PGRI 34, Sangihe 26, Cideng 31731742

SMK PGRI 4, Rawa Sari 31736001

SMK PGRI 5 , Pasar Baru 31731745

SMK PGRI 5, Cengkareng 31745947

SMK PGRI 6, Kebon Kosong 31731751

SMK PGRI 7, Paseban 31731753

SMK PGRI 9, Pekayon 31725894

SMK PKP 2, Pekayon 31725892

SMK Pluit Raya, Penjaringan 31756052

SMK Poncol , Mutiara Raya, Sumur Batu 31735998

SMK Pondok Karya Pembangunan, Cijantung

31725915

SMK PSKD 1, Prapatan 31736085

SMK PSKD 2, Bulungan 31716042

SMK PSKD 3, Penjaringan 31756045

43

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

SMK Punta Dewata, Sumur Batu 31735992

SMK Purnama, Kebayoran Baru 31716057

SMK Pusaka 1, Cipinang Muara 31725879

SMK Putra Nusa, Tegal Alur 31746005

SMK Rahayu, Kramat Jati 31725947

SMK Raudhatul Jannatin, Pademangan 31756112

SMK Raya 2, Cijantung 31725914

SMK Raya, Pekayon 31725899

SMK Reformasi Pembangunan 1, Pulo Gadung

31725864

SMK Remaja Pluit, Pluit 31756048

SMK Reses 66, Tanah Tinggi 31736002

SMK Respati, Cawang 31725939

SMK Respati, Karet 31715530

SMK Rex Mundi, Jakarta 00420008

SMK Ristek Jaya, Penggilingan 31725959

SMK Ristek Kikin, Penggilingan 31725958

SMK Risto Jaya, Jatinegara 31725953

SMK RPI, Kuningan Timur 31715529

SMK Sahid, Gedong 31725933

SMK Said Naum, Kb. Kacang 31736011

SMK Saint Anthony Jkt, Cideng 31735982

SMK Saint John, Gn.Sahari Selatan 31735993

SMK Samaria Jaya, Mangga Besar 31745971

SMK Sanggit Cendikia, Kalideres 31746004

SMK Santa Lusia, Cipinang Cempedak 31725890

SMK Santa Lusiana, Balekembang 31725935

SMK Santo Leo, Tangki 31745972

SMK Sari Mulia I, Suka Pura 31756103

SMK Sari Putra, Semper Barat 31756100

SMK Sarimulia 2, Semper Timur 31756096

SMK Sasmita Jaya 1, Pamulang, Tangerang

33320048

SMK Satria, Sengseng 31746007

SMK SDM, Kuningan Barat 31715535

SMK Sejahtera, Tugu Utara 31756063

SMK Sentosa, Mangga Besar 31745975

SMK Silam Fatahillah, Krukut 31745973

SMK Siliwangi, Lagoa 31756070

SMK Sinar Dharma, Krendang 31745968

SMK Spic Patrie, Sunter Agung 31756079

SMK Sriwijaya, Jatinegara 31725957

SMK St Paulus, Duri Pulo 31735977

SMK St. Maria, Juanda 31736128

SMK St. Theresia, Gondangdia 31736008

SMK Strada 2, Gn. Sahari Selatan 31735989

SMK Strada 3, Tugu Utara 31756068

SMK Strada KJ, Tanjung Priok 31756043

SMK Strada, Daan Mogot 33320043

SMK Strada, Gunung Sahari 31736093

SMK Sultan Agung, Balimester 31725886

SMK Sumpah Pemuda, Joglo 31746010

SMK Swadaya, Pondok Kelapa 31725987

SMK Swasta, Pusat 31739017

SMK Swasta, Manggarai 31715603

SMK Syahid, Cilincing 31756104

SMK Taman Sakti, Tegal Alur 31746001

SMK Taman Siswa, Kemayoran 31736104

SMK Taman Siswa, Perc. Negara 31736112

SMK Tamsis 2, Pegangsaan 31736007

SMK Tamsis, Kebon Kosong 31746014

SMK Tanjung Priok 2, Lagoa 31756059

SMK Tanjung Priok I, Lagoa 31756057

SMK Tanjung, Grogol 31745951

SMK Tanwirul Quluh, Palmerah 31745993

SMK Tarakanita, Kebayoran Baru 31716065

SMK Taruna , Jatinegara 31725960

SMK Teladan Golden, Kemanggisan 31745994

SMK Telkom Sandhy Putra, Jakarta Utara 00520009

SMK Teratai Putih , Pondok Kelapa 31725984

SMK Timur, Kramat Jati 31725945

SMK Timur, Utan Kayu 31726044

SMK Tomang Raya, Jatipulo 31745992

SMK Trampil, Cililitan 31725948

SMK Tri Arga 1, Kebon Jeruk 31745988

SMK Tri Arga 3, Kebon Jeruk 31745986

SMK Tri Dharma Budhi Daya, Pejagalan 31756046

SMK Tri Ratna, Krukut 31745976

SMK Tri Sastra, Cijantung 31725922

SMK Tri Tunggal , Pisangan Timur 31725874

SMK Tridaya, Cipayung 31726008

SMK Tunas Harapan, Cempaka Putih 31736003

SMK Tunas Harapan, Wijaya Kusuma 31745953

SMK Tunas Markatin, Rawamangun 31725867

SMK Uswatun Hasanah, Cipinang Melayu 31726004

SMK Vini Vidi Vici, Cijantung 31725929

SMK Walang Jaya, Tugu Selatan 31756058

SMK Wawasan Nusantara, Balimester 31725887

SMK Widya Manggala, Gedong 31725912

SMK Wiratama, Marunda 31756098

SMK Wiyata Mandala Bakti, Kebon Bawang

31756089

SMK Wiyata Mandala, Pondok Kelapa 31725994

SMK Yadika 1, Tegal Alur 31745997

SMK Yadika 3, Tegal Alur 31745996

SMK Yamas , Cipayung 31726007

SMK Yamor Jaya , Pekayon 31725905

SMK Yanindo, Tanjung Priok 31756083

SMK Yapenda, Kebon Bawang 31756085

SMK Yapenka, Sumur Batu 31735990

SMK Yapermas, Menteng 31736006

SMK Yasda, Kuningan XV 31715522

SMK Yasmu Sudirman, Cijantung 31726083

SMK Yasmu, Sungai Bambu 31756075

SMK Yaspen, Pasar Manggis 31715527

SMK Yaspi Jaya, Sunter 31756047

SMK Yaspi, Semper Barat 31756105

SMK Yaspri, Matraman 31726091

SMK YMIK, Joglo 31746012

SMK Yoel, Semper Timur 31756106

SMK Yosua, Kotabambu Utara 31745990

SMK YP IPPI, Petojo 31736127

SMK YP. IPPI, Pulo Gebang 31725976

SMK YPK Kesatuan, Manggarai 31716073

SMK YPK Wijaya, Kebayoran Baru 31716081

SMK YPMII, Kebayoran Lama 31715611

SMK Yusha, Tugu Utara 31756067

SMK Yusufiah, Cijantung 31725925

SMKK 2, Tanjung Duren 00520015

SMKK Budi Asih , Pekayon 31725906

SMKK Budi Luhur 31756086

SMKK Nazaret, Pejagalan 31756049

SMKK Negeri 1, Pasar Minggu 31712036

SMKK Negeri 2, Kebayoran Baru 31712013

SMKK Negeri 4, Pasar Minggu 31712044

SMKK Negeri 5, Tebet 31712021

SMKK Negeri 7, Kebayoran Baru 31712052

SMKK Negeri, Kayu Putih 31722015

SMKK Widuri, Kebayoran Baru 31716525

SMKN 1, Gambir 31731761

SMKN 10, Cawang 31721522

SMKN 10, Tanjung Priok 31751765

SMKN 11, Percetakan Negara 31731792

SMKN 11, Pinangsia 31741764

SMKN 12 , Kebon Bawang 31751758

SMKN 12, Cilandak 31711795

SMKN 13, Kemayoran 31731803

SMKN 13, Palmerah 31741766

SMKN 14, Johar Baru 31731760

SMKN 14, Pejompongan 31731811

SMKN 15, Kabayoran Baru 31711806

SMKN 16, Kelapa Gading 31751763

SMKN 16, Pegangsaan 31731755

SMKN 16. Tm. Amir Hamzah 31731826

SMKN 17, Kemanggisan 31741794

SMKN 18, Pondok Pinang 31711769

SMKN 18, Slipi 31741805

SMKN 19 , Bendungan Hilir 31731757

SMKN 19, Pasar Rebo 31721782

SMKN 2, Menteng 31731776

SMKN 20, Pademangan 31751773

SMKN 21, Kebon Kosong 31731750

SMKN 21, Pasar Minggu 31711814

SMKN 22, Gedong 31721519

SMKN 22, Utan Kayu 31721766

SMKN 23, Pademangan Timur 31751764

SMKN 23, Pondok Labu 31711822

SMKN 24, Cengkareng 31741771

SMKN 24, Cipayung 31721523

SMKN 25, Kebayoran Lama 31711837

44

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

SMKN 26, Kemayoran 31731834

SMKN 27, Kb. Jeruk 31741813

SMKN 27, Pasar Baru 31731746

SMKN 28 , Cilandak Barat 31711774

SMKN 28, Cipinang 31721797

SMKN 29, Pejaten 31711845

SMKN 3, Gambir 31731741

SMKN 3, Gunung Sahari Selatan 31731748

SMKN 3, Kebayoran Baru 31711764

SMKN 30, Gunung 31711771

SMKN 30, Klender 31721801

SMKN 31, Johar Baru 31731759

SMKN 33, Rawa Badak 31751757

SMKN 34, Paseban 31731752

SMKN 35, Krukut 31741768

SMKN 36, Kali Baru 31751760

SMKN 37, Pasar Minggu 31711765

SMKN 38, Gambir 31731740

SMKN 39, Cempaka Putih Timur 31731754

SMKN 4, Pasar Minggu 31711772

SMKN 4, Rorotan 31751759

SMKN 4, Tangerang 33310020

SMKN 40, Utan Kayu Utara 31721513

SMKN 42, Cengkareng 31741767

SMKN 43, Cipulir 31711770

SMKN 44, Cempaka Baru 31731749

SMKN 44, Rawamangun 31721514

SMKN 45, Suka Bumi Selatan 31741765

SMKN 46, Jatinegara 31721518

SMKN 47, Pejaten Barat 31711767

SMKN 48, Jatinegara 31721516

SMKN 49, Marunda 31751761

SMKN 5, Pisangan Baru 31721512

SMKN 5, Tambora 31741763

SMKN 50, Jatinegara 31721517

SMKN 51, Gedong 31721520

SMKN 52, Kelapa Dua Wetan 31721524

SMKN 53, Taman Sari 31741769

SMKN 54, Serdang 31731747

SMKN 55, Pademangan Timur 31751762

SMKN 56, Pluit 31751756

SMKN 57, Jati Padang 31711768

SMKN 58, Gedong 31721521

SMKN 6 , Melawai 31711773

SMKN 6, Mayjen Sutoyo 31721774

SMKN 7, Jatinegara 31721515

SMKN 7, Pinangsia 31741786

SMKN 8, Kramat 31731784

SMKN 8, Pejaten 31711766

SMKN 9, Pondok Pinang 31711787

SMKN Kebon Sereh 31721511

SMP Negeri, Kemanggisan 31740117

SMPS Negeri, Cilandak 31712261

SMT Gutama, Kebayoran Baru 31715514

SMT Penerbangan, Keb. Baru 31711516

SPG Aisyiah, Bendungan Hilir 31717513

SPG Negeri 2, Guntur 31712535

SPG Negeri, Pondok Pinang 31713016

SPG Negeri, Setiabudi 31712512

SPG Negeri, Tanjung Barat 31712527

SMA Candle Tree School, Serpong 33320059

SMA Delima International School, Kemang

00220020

SMA Jakarta International Korean School, Jak-Tim

00320016

SMA Mentari International School, Kebayoran Baru

00220025

SMA Pena Home Schooling, Menteng 00420018

SMA PKBM Bina Warga Mandiri, Bogor 00820018

SMA PKBM Perti, Jakarta Barat 00520029

SMA PKBM Ristek Nusantara, Cempaka Putih

00420017

SMA PKBM Setia Mandiri, Kebayoran Baru, Jak-Sel

00220015

SMA PKBM Technosa, Serpong 33320064

SMA PKBM Windsor Homeschooling, Jakarta Pusat

00420017

SMA Raffles Design Institute, Citywalk Sudirman

00520033

SMA Singapore International School, Lebak Bulus

00220026

SMA Bethel, Tangerang 0112004

SMA Bina Nusantara, Serpong 33320057

SMA Bonavita, Tangerang 33320067

SMA BPK Penabur, Bintaro Jaya 33320065

SMA Candra Naya, Jembatan Besi 31743850

SMA Deutsche Internationale Schule, BSD Serpong

33320063

SMA Dharma Mulya 07820019

SMA Don Bosco 3, Cikarang Selatan, Bekasi

01320023

SMA Global Mandiri, Bogor 00320019

SMA Hati Suci, Kampung Bali, Jakarta Pusat

00420016

SMA High Scope International, Jakarta Selatan

00220021

SMA Ignatius Slamet Riyadi, Karawang 03220002

SMA International Islamic High School, Jak-Sel

00220022

SMA Ketapang 3, Cibubur, Bogor 00820019

SMA Kharisma Bangsa, Pamulang-Tangerang

33320054

SMA Malidar, Bekasi 01320021

SMA Mardi Waluya, Cibinong 01820004

SMA Mardi Yuana, Serang 33420004

SMA Marie Joseph, Kelapa Gading 00620021

SMA Presiden, Cikarang 19520012

SMA Saint Peter School 00620017

SMA School of Universe, Bogor 00820017

SMA Stella Maris International, Gading Serpong

33320055

SMA Taruna Mandiri, Tangerang 33320068

SMA Yadika 4, Bekasi 01320020

SMA Yadika 9, Bekasi 03520005

SMA Dian Didaktika, Cinere-Depok 01420013

SMAK 6 BPK Penabur, Jakarta Utara 00620030

SMAK 8 BPK Penabur International, Tanjung Duren

00520032

SMAK Penabur Harapan Indah, Bekasi 01320024

SMAK Penabur International, Kelapa Gading

00620031

SMAN 1, Babelan Bekasi 03510003

SMAN 1, Balaraja Tangerang 33310027

SMAN 1, Ciawi Bogor 00810005

SMAN 1, Cikampek 03210003

SMAN 1, Cileungsi 00810007

SMAN 11, Tangerang 33310028

SMAN 2(d/h SMAN 1 Cisauk), Tangerang Selatan

33310009

SMAN 26, Tebet 31710076

SMAN 28, Ragunan 31710084

SMAN 4, Bojonegoro 10810001

SMAN 43, Setia Budi 00210004

SMAN 9, Bogor 00810006

SMK Musik Perguruan Cikini, Jakarta Pusat

00420020

SMK Negeri 19, Bendungan Hilir 00410004

SMK Santa Laurensia 33320053

SMK Yuppentek 2, Curug, Tangerang 33320062

SMA UPH College, Karawaci 33320066

SMA Yayasan Pendidikan Putra Kusuma 00120008

B. PULAU JAWAWilayah Luar Jabodetabek

BANDUNGSMA Advent, Bandung 00720008

SMA Aloysius 2, Bandung 00720004

SMA Bina Bakti 1, Bandung 00720003

SMA Bina Bhakti, Bandung 00720013

SMA BPI I, Bandung 00720014

SMA Farmasi BPK Penabur, Bandung 00720019

SMA Jendral Sudirman, Bandung 00710004

SMA Krida Nusantara, Bandung 00720015

SMA Kristen Bina Bakti 2, Bandung 31843008

SMA Kristen Dago, Bandung 00720002

SMA Kristen Kalam Kudus, Bandung 00720016

SMA Nafiri Sion, Bandung 00720007

SMA Pelita Bangsa, Bandung 00720005

SMA Penoboth, Bandung 00720009

SMA Pesantren Persatuan Islam, Bandung 00720012

SMA Pribadi, Bandung 00720017

SMA St. Aloysius, Bandung 31843004

SMA St. Angela, Bandung 31843007

SMA St. Maria 1, Bandung 31843005

SMA St. Maria 2, Bandung 31843009

SMA St. Paulus 00720010

SMA Taruna Bakti, Bandung 31843010

45

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

SMA Temasek International School, Bandung

00720020

SMA Terpadu Krida Nusantara, Bandung 00720018

SMA Trimulia, Bandung 00720006

SMA Trinitas, Bandung 31843006

SMA Yahya, Bandung 00720001

SMA Yayasan Pendidikan Sejati, Bandung 00720011

SMAK 1 BPK Penabur, Bandung 31843001

SMAK 2 BPK Penabur, Bandung 31843002

SMAK 3 BPK Penabur, Bandung 31843003

SMAN 1, Bandung 00710002

SMAN 2, Bandung 00710013

SMAN 23, Bandung 00710008

SMAN 3, Bandung 00710006

SMAN 4, Bandung 00710001

SMAN 5, Bandung 00710003

SMAN 6, Bandung 00710007

SMK Sandhy Putra, Bandung 00720021

SMA Talenta, Bandung 00720023

SMA YAS, Bandung 00720025

SMAN 8, Buah Batu, Bandung 00710012

SMAN 8, Pasundan, Bandung 00710014

SMAN 9, Bandung 00710015

SMA Mutiara Nusantara, Parongpong 52220001

SMA Kristen BPPK, Bandung 00720024

SMA Cahaya Bangsa Classical School, Bandung

00720027

SERANGSMA AL Azhar 6, Serang 33420003

SMA Islam Al Azhar 6, Serang 33420002

SMA Negeri 3, Cilegon 33410006

SMA Randawa School, Cilegon 33420001

SMAN 1 Bojonegara, Serang 33410002

SMAN 1, Ciponcok Jaya 33410004

SMAN 1, Kramatwatu, Serang 33410007

SMAN 1, Pandeglang 33410005

SMAN 1, Serang 33410003

SMAN 2, Cilegon 33410001

SMAN 2, Pandeglang 37810001

BOJONEGOROSMAN 4, Bojonegoro 10810001

SUKABUMISMA Mardiyuana, Sukabumi 31845001

SMAK 1 BPK Penabur, Sukabumi 31845002

SMAN 1 Parung Kuda, Sukabumi 31845003

SMAN 1, Cibadak, Sukabumi 00920001

SMAN 1, Cicurug, Sukabumi 00910002

SMAN 3, Sukabumi 00910001

SMAN 5, Sukabumi 00910003

CIREBONSMA Putra Nirmala, Cirebon 01020001

SMA Sekar Kemuning 01020002

SMA St. Maria 1, Cirebon 31844001

SMA St. Maria 2, Cirebon 31844002

SMAK 1 BPK Penabur, Cirebon 31844003

SMAK 2 BPK Penabur, Cirebon 31844004

SMAN 1, Cirebon 31844005

SMAN 2, Cirebon 31844006

SMAN 3, Cirebon 31844007

SMAN 6, Cirebon 01010001

SMA Al-Azhar 5, Cirebon 01020003

CIANJURSMA Mardiyuana, Cianjur 02020002

SMAK 1 BPK Penabur, Cianjur 02020001

TASIKMALAYASMAK 1 BPK Penabur, Tasikmalaya 01220001

LEBAKSMA Kasih, Depok 1720001

KARAWANGSMA Yos Sudarso, Kerawang 03220001

SMAN 1, Karawang 03210001

SMAN 5, Karawang 03210002

KUNINGANSMAN 1, Kadugede 02510001

SMAN 1, Kuningan, Jawa Barat 02510002

SMAN 2, Kuningan 02510003

SUBANGSMAN 1, Ciasem - Subang 33810001

SMAN 1, Patokbeusi, Subang 33810002

KUNINGANSMAN 1, Cilimus, Kuningan 02510004

SURAKARTASMA Ignatius, Slamet Riyadi 03720003

SMA Kalam Kudus, Solo 31852006

SMA Pangudi Luhur, Surakarta 03720002

SMA St. Ursulin (SMU Regina Pacis), Solo

31852003

SMA St. Yoseph, Solo 31852004

SMAK 1 BPK Penabur, Surakarta 31852005

SMAK 2 BPK Penabur, Surakarta 03720001

SMAN 1, Solo 31852001

SMAN 3, Solo 31852002

SMAN 2, Surakarta 03710001

SMA Regina Pacis, Surakarta, Jawa Tengah 03720004

MAJALENGKASMAN 2, Majalengka, Jawa Barat 02710001

TEGAL2 1, Tegal 04110001

SMAN Pius, Tegal 04120001

BANJARNEGARASMAN 1, Banjarnegara 04710001

MAGELANGSMA Kristen 1 03620002

SMA Pangudi Luhur, Magelang 03620001

SMA Tarakanita, Magelang 31854004

SMAz

Taruna Nusantara, Magelang 31854001

SMAK 1 BPK Penabur, Magelang 31854002

SMAK 2 BPK Penabur, Magelang 31854003

SMAN 1, Magelang 31854005

SMA Marsudirini, Muntilan 03620004

SALATIGASMA Kristen Satyawacana, Salatiga 31855005

SMA Kristen 1, Salatiga 03820001

SMA Kristen 2, Salatiga 03820002

SMA Theresia Sidorejo, Salatiga 31855002

SMAK 2 BPK Penabur, Salatiga 31855004

SMAK 1 BPK Penabur, Salatiga 31855003

SMAN 1, Salatiga 31855001

PONOROGOSMAN 1, Ponorogo, Jawa Timur 08810001

SUMENEPSMAN 1, Sumenep 11610002

TEMANGGUNGSMAN 1, Temanggung 06610002

D.I. YOGYAKARTASMA Bangun Tapan, Yogyakarta 31851005

SMA Bopkri 1, Yogyakarta 31851002

SMA Bopkri 2, Yogyakarta 31851003

SMA Bopkri 3, Yogyakarta 31851004

SMA Budi Luhur, Yogjakarta 7320004

SMA Gajah Mada 07320006

SMA Kolose De Brito, Yogyakarta 31851001

SMA Marsudi Luhur, Yogyakarta 31851009

SMA Muhammadiyah 1, Jogyakarta 07320003

SMA Pangudi Luhur, Yogyakarta 31851006

SMA PANTI RAPIH 07320007

46

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

SMA Santo Mikael, Sleman 07720001

SMA St. Maria, Yogyakarta 7320002

SMA Stella Duce 1, Yogyakarta 31851007

SMA Stella Duce 2, Yogyakarta 31851008

SMA Stella Duce Bantul, Yogyakarta 07320005

SMAN 1, Depok, Sleman, Yogyakarta 07710001

SMAN 1, Yogyakarta 7320001

SMAN 2, Yogyakarta 7310001

SMAN 3, Yogyakarta 31851010

SMAN 6, Yogyakarta 07310002

SMAN 8, Yogyakarta 31851011

SMKN 2 Kasihan, Bantul, Yogyakarta 07310003

SEMARANGSMA Citischool (Satria Wacana),

Semarang31853015

SMA Don Bosco, Semarang 31853010

SMA Karang Turi, Semarang 31853006

SMA Kebon Dalem, Semarang 31853005

SMA Kolose Loyola, Semarang 31853003

SMA Krista Mitra, Semarang 03920002

SMA Kristen Tri Tunggal 03920005

SMA Marsudirini, Semarang 31853011

SMA Masehi 1, Semarang 03920001

SMA Sades Sapintie, Semarang 31853001

SMA Satria Wacana, Semarang 31853014

SMA Semesta 03920004

SMA Theresiana 1, Semarang 31853004

SMA Theresiana 2, Semarang 31853009

SMA Virgo Fidelis, Semarang 31853007

SMA YSKI, Semarang 31853002

SMAK Kristen 1, Semarang 06520001

SMAN 1, Semarang 31853008

SMAN 16, Semarang 03910003

SMAN 3, Semarang 31853013

SMAN 5, Semarang 31853012

SMK PIKA 03920006

SMA Terang Bangsa Christian High School

03920008

SMA Sedes Sapientiae, Jambu 03920003

SMA INSTITUT INDONESIA, SEMARANG

03920009

PEKALONGANSMA St. Bernadus, Pekalongan 04020001

SMAN 1, Batang, Pekalongan 04010004

SMAN 1, Pekalongan 04010003

SMAN 3, Pekalongan 04010001

KUDUSSMA Keluarga, Kudus 06220001

SMA Masehi, Kudus 06220002

SMAN 1, Kudus 06210001

KEBUMENSMAN 1, Kebumen 04810001

PEMALANGSMAN 1, Pemalang 03910001

CILACAPSMA Muhammadiyah 04410001

SMAN 1 04310003

SMAN 3, Cilacap 04310002

SMAN Majenang 04310001

SMA Yos Sudarso, Cilacap 0432001

SURABAYASMA Barunawati, Surabaya 07820003

SMA Kolose St. Yusuf 31861002

SMA M3 07820024

SMA Advent Anjasmoro, Surabaya 07820020

SMA Caritas 3, Surabaya 07820004

SMA Ciputra, Surabaya 31861006

SMA Cita Hati, Surabaya 07820014

SMA Depana 1 07820015

SMA Dharma Mulya, Surabaya 07820019

SMA Frateran, Surabaya 31861005

SMA Gracia, Surabaya 07820013

SMA IMKA 07820026

SMA Kemala Bhayangkara 2, Surabaya 07820005

SMA Kristen Gloria, Surabaya 07820006

SMA Kristen Kalam Kudus, Surabaya 07820012

SMA Muhamadiyah 2 07820029

SMA Petra 1, Surabaya 31861012

SMA Petra 2, Surabaya 31861013

SMA Petra 3, Surabaya 31861014

SMA Petra 4, Surabaya 07820011

SMA Petra 5, Surabaya 07820001

SMA Pringadi, Surabaya 31861007

SMA Santo Hendriks, Surabaya 07820010

SMA St. Agnes, Surabaya 07820007

SMA St. Carolus, Surabaya 31861009

SMA St. Hendrikus 07820021

SMA St. Louis 1, Surabaya 31861004

SMA St. Louis 2, Surabaya 07820002

SMA St. Maria, Surabaya 31861001

SMA St. Paulus 07820028

SMA Stanislaus 1, Surabaya 31861010

SMA Stanislaus 2, Surabaya 31861011

SMA Stella Maris, Surabaya 31861003

SMA Tri Murti, Surabaya 31861008

SMA Trikora, Surabaya 07820008

SMA Untung Surapati, Surabaya 07820009

SMA YP Trisila, Surabaya 07820016

SMA YPP – 1, Surabaya 07820018

SMA YPPI 1, Surabaya 07820017

SMA YPPI 2 07820030

SMAK Cita Hati 07820023

SMAK Intan Permata Hati 07820032

SMAN 14 07810008

SMAN 1, Surabaya 07810001

SMAN 10, Wonocolo, Surabaya 07810003

SMAN 15, Surabaya 07810009

SMAN 16, Surabaya 07810002

SMAN 17, Surabaya 07810010

SMAN 2, Surabaya 07810005

SMAN 5, Surabaya 07810004

SMAN 6, Surabaya 07810007

SMK Katolik Mater Amabilis 07820027

SMAN 9, Surabaya 07810011

SMA Pelangi Kristus, Surabaya 07820038

SMA Mardisiwi, Ploso Tambak Sari, Surabaya

07820035

SMA Favorit Pugging 07820039

SMA 17 Agustus 1945, Surabaya 07820036

SMA Al-Falah, Surabaya 07820037

SIDOARJOSMAN 1, Sidoarjo 10110001

SMA Petra 4 10120001

SMAN 1, Krembung 10110003

SMA Singapore National Academy, Sidoarjo

10120003

SMA Hang Tuah 2 - Sidoarjo 10120002

PROBOLINGGOSMA Marterdei, Probolinggo 08420001

JEMBERSMAK Satya Cendika, Jember 08620001

SMAK St. Paulus, Jember 09520001

MOJOKERTOSMA Taruna Nusa Harapan, Mojokerto 07920001

SMAN Puri, Mojokerto 07910001

MAGETANSMAN 1, Magetan 10610001

CIMAHISMA St. Marra 3 01520001

TULUNG AGUNGSMA Diponegoro, Tulung Agung 9020001

SMA St. Agustinus, Tulung Agung 9020002

47

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

PURWOKERTOSMA Bruderan, Purwokerto 04220001

SMA YPPPK, Purwokerto 04220002

SMAN 1, Purwokerto 04210001

SMAN 5, Purwokerto 04510002

BLITARSMAN 1, Blitar 08310001

KEDIRISMA Petra, Kediri 08220002

SMA Santo Agustinus, Kediri 08220001

SMAN 2, Kediri 08210001

MADIUNSMAK Bonaventura, Madiun 08520001

SMAN 2, Madiun 08510001

SMAN 3, Madiun 08510002

PASURUANSMAN 1, Pasuruan 08110001

BANYUMASSMAN Banyumas 04510001

BLORASMA Akademi Keperawatan Depkes,

Blora05910001

SMA Wijaya Kusuma, Blora 05920001

BOYOLALISMA M3, Boyolali 05210001

BREBESSMAN 1, Brebes 07210001

SMAN 1, Larangan Brebes 07210002

GROBONGANSMAN 1, Gubug 05820001

JEPARASMAN 1, Jepara 06310001

KLATENSMK Kristen 2, Klaten 05320001

PATISMA PGRI 3, Pati 06120001

SMAK Yos Soedarso, Pati 06120002

SMAN 1 Tayu, Pati 06110001

PURBALINGGASMAN 1, Purbalingga 04610001

SRANGENSMA Saverius Karangmalang 05720001

TEMANGGUNGSMAN 2, Temanggung 06610001

INDRAMAYUSMA Ma’had Al-Zaytun, Indramayu 02920001

MALANGSMA Bina Bangsa Christian School,

Malang08020005

SMA Cor Jesu, Malang 31862004

SMA Katolik Flateran, Malang 09320001

SMA Katolik Yos Sudarso, Batu Malang 08020008

SMA Kolose St. Yusuf, Malang 31862001

SMA PGRI 1, Malang 08020007

SMA St. Albertus, Malang 31862003

SMA St. Maria, Malang 31862002

SMA Taman Harapan 08020003

SMA Taman Siswa, Malang 08020006

SMAK 1, Malang 08020001

SMAK 2, Malang 08020002

SMAK Santa Maria, Malang 08020009

SMAN 1, Malang 31862006

SMAN 1, Panji, Situbondo 08010002

SMAN 2, Malang 08010001

SMAN 3, Malang 31862005

SMAN 4, Malang 31862007

SMA Charis National Academy, Malang 08020013

SMA Advent Dwi Abdi, Malang 08020012

BANGKALANSMAN 1, Kwanyar, Bangkalan 11210001

GRESIKSMAN 1, Manyar, Gresik 11110002

SMAN Driyorejo, Gresik 11110001

JOMBANGSMAN 2, Jombang 10310001

BANYUWANGISMAN 1, Banyuwangi 09610001

SMA Katolik Hikmah Mandala, Banyuwangi

09620001

PURWOREJOSMA Bruderan, Purworejo 4920001

SMA Negeri 1, Purworejo 4910001

BALISMA Madrasah Aliyah (Paket C) 28020001

SMA Dyatmika, Denpasar 27920002

SMA Katolik St. Yoseph, Bali 31871005

SMA Kristen Harapan 27920007

SMA LAB. UNDIKSHA, Singaraja 28220001

SMA Mahatma Gandhi, Bali 31871001

SMA Negeri 1 Tabanan 28710001

SMA PGRI 1, Denpasar, Bali 27920006

SMA Sidia Putra, Bali 27920001

SMAK Savardi, Denpasar 27920003

SMAN 1, Bali 31871002

SMAN 2, Bali 31871003

SMAN 3, Bali 31871004

SMAN 4, Denpasar 27910002

SMAN 7, Denpasar 27910001

SMAN Samarapura 28610001

SMK Pariwisata Harapan 27920004

SMA Tri Dharma Kosgoro Dompu, Singaraja

28220002

SMA Tunas Daud, Bali 27920009

SMAN 1, Gianyar-Bali 28310001

SMAN 1, Singarajam Buleleng 28210002

SMAN 2, Singaraja 28210001

SMA Nasional Plus Jembatan Budaya, Bali

28020002

SMA Cahaya Harapan Indonesia Sejahtera, Denpasar

27920008

C. LUAR PULAU JAWA

PALANGKARAYASMA Katolik, Palangkaraya 31874001

SMA Kristen, Palangkaraya 31874002

SMAN 1, Palangkaraya 31874003

SMAN 3, Jekan Raya, Palangkaraya 20310001

SMAN 2, Palangkaraya 20310002

SMAN 4, Palangkaraya, Kalteng 20310003

SMAN 5, Palangkaraya 20310004

SMA Katolik St. Andreas, Palu 23920004

SMA Katolik St. Petrus Kanisius, Palangkaraya

20320001

BALIKPAPANSMA Patra Dharma, Balikpapan 22620001

SMA Advent, Balikpapan 22620002

SMA Katolik A. Adi Sutjipto, Balikpapan 22620003

SMAN 1, Balikpapan 22610001

SMAN 1, Panajam, Balikpapan 22610003

SMAN 2, Balikpapan 22610004

SMAN 4, Balikpapan 22610006

SMAN 5, Balikpapan 22610002

SMK Negeri 3, Balikpapan 22610005

SMA SKB, Balikpapan Utara, Kalimantan Timur

22620004

48

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

SAMARINDASMA 1 Panajam, Kalimanatan Timur 22510002

SMA Katolik W.R. Soepratman 31875001

SMA Katolik.W.Poerwadarminta, Tarakan 22720001

SMA KP Vidya Dahana, Bontang 22520001

SMA Kristen Sunodia 22520003

SMA YP Vidya Dharma Putra, Samarinda 31875005

SMA YPK, Samarinda 31875006

SMAN 10 22510001

SMAN 1, Samarinda 31875002

SMAN 2, Samarinda 31875003

SMAN 3, Samarinda 31875004

SMK Niagara, Samarinda 22520002

SMAK St. Fransiskus Asisi, Samarinda 22520004

BANJARMASINSMA Katolik, Banjarmasin 31873002

SMA Kristen, Banjarmasin 31873003

SMAN 1, Banjarmasin 31873001

SMAN 7, Banjarmasin 21410001

SMAK Kanaan, Banjarmasin 21420001

SMAN 1, Tanjung, Tabalong-Kalsel 22410001

SMA Muhammadiyah 1, Banjarmasin, Kal-Sel

21420002

PONTIANAKSMA Abdi Wacana, Pontianak 19510004

SMA Amkur, Pemangkat, Pontianak 19520009

SMA Bina Mulia, Pontianak 19520011

SMA Gembala Baik, Pontianak 31872005

SMA Imanuel, Pontianak 19520002

SMA Makedonia, Ngabang Pontianak 19520004

SMA Pangudi Luhur St. Yohanes, Ketapang, Pontianak

20020001

SMA Presiden, Cikarang 19520012

SMA Santo Ignasius 19620003

SMA St. Paulus, Pontianak 31872001

SMA St. Petrus, Pontianak 31872003

SMA Taruna Khatulistiwa, Pontianak 19520005

SMA YPK, Pontianak 19520006

SMAK Negeri 8, Pontianak 19510001

SMAN 1 Toho, Pontianak 19520008

SMAN 1, Pontianak 31872002

SMAN 1, Singkawang 19620001

SMAN 1, Singkawang 19620001

SMAN 2, Ngabang 19510005

SMAN 3, Pontianak 31872004

SMAN 5, Pontianak 19510003

SMK Imanuel, Pontianak 19520003

SMK Negeri 1 Sekura, Pontianak 19510002

SMK Pratiwi, Singkawang, Pontianak 19620002

SMK Santa Maria, Pontianak 19520007

MEDANSMA Diponegoro, Kisaran 12820007

SMA Budi Murni 1, Medan 31412004

SMA Chandra Kusuma, Medan 12820013

SMA Dr. Setiabudi, Medan 12820019

SMA Hangkesturi, Medan 31412012

SMA Harapan, Medan 31412006

SMA Imanuel, Medan 31412007

SMA Josua, Medan 12820012

SMA Katolik Balige, Medan 31412011

SMA Kesuma Indah, Padangsidempuan 12820009

SMA Khalsa, Medan 31412010

SMA Medan Music Education, Medan 12820015

SMA Methodist 1, Medan 12820004

SMA Methodist 2, Medan 12820001

SMA Methodist 4, Medan 12820014

SMA Sekolah Pengaturan Gigi 12820017

SMA St. Maria, Medan 12820010

SMA St. Thomas 3, Medan 12820020

SMA St.Thomas 1, Medan 31412001

SMA St.Thomas 2, Medan 12820002

SMA Sutomo 1, Medan 31412002

SMA The Mission MYC, Medan 12820016

SMA Yadika 3 12820018

SMAN 1, Brastagi 12810007

SMAN 1, Panyambungan 12810006

SMAN K1, Medan 12810004

SMAN Perdagangan 12810005

SMA Sutomo 2, Medan 31412008

SMA Taman Siswa Polonia, Medan 12820005

SMA Widyasana Utama, Medan 12820011

SMA Wiyata Darma, Medan 31412009

SMAN 1, Dolok Masihul 12810010

SMAN 1, Medan 31412003

SMAN 2, Medan 12810002

SMAN 5, Medan 12810009

SMA Methodist 3, Medan 12820023

SMA Methodist 5, Medan 12820023

SMA Singapore Piaget Academy, Medan 12820022

KAB. DELISMA Chandra Kusuma, Deli Serdang 14520002

LUBUK PAKAMSMA Karya Pendidik, Lubuk Pakam,

Sumatera Utara12820024

SMA Dharma Bhakti, Lubuk Pakam 14520003

SIMALUNGUNSMAN 1, Silimakuta, Simalungun, Sum-Ut 14210003

KAROSMKN 1, Kaban Jahe, Karo 14410001

UJUNG PADANGSMAN 1, Ujung Padang 14210004

DAIRISMAN 1, Silima Pungga-pungga, Dairi,

Sumatera Utara14310001

SMA Bukit Cahaya, Dairi 14320001

SUMATERA SELATANSMA Xaverius Lubuk Linggau, Sumatera

Selatan17920001

BANGKASMA 1 Bangka, Sungailiat 18810004

SMA Bakti, Jebus 18820003

SMA Bakti, Pangkal Pinang 17820002

SMA Harapan Sungailiat, Bangka 18810001

SMA Maria Goretti, Sungailiat 18820002

SMA Setiabudi 18810003

SMA St. Yoseph Antonius, Bangka 31414001

SMAN 2 17810001

SMAN 1 Belinyu, Bangka 18810001

SMK Tunas Karya, Pangkal Pinang 17820003

SMK Yapensu, Sungailiat 18820004

SMK Yapento Toboali 18810002

SMA St. Yosef, Lahat 18520001

SMAN 1, Lahat 18510002

SMK Negeri 1, Pangkal Pinang 38910001

BELITUNGSMAN 1, Belitung 18910001

SMK Negeri 1, Tanjung Pandan 18910002

SMUN 1, Tanjung Pandan 18910003

SIBOLGASMA Triratna, Sibolga 12920001

BINJAISMA Ahmad Yani, Binjai 13320001

SMA Methodist, Binjai 12820008

PALUSMA GKLB Banggal, Sulawesi Tenggara 23920002

SMA Karunia Dipa, Palu 23920001

SMA Yayasan Pendidikan Imanuel, Palu 23920003

SMAN 2, Palu 23910001

SMA Katolik st. Andreas, Palu 23920004

49

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

KENDARISMA Kartika 72, Kendari 26720001

SMA Kartika 72, Kendari 26720001

SMA Negeri 1 Raha 27210001

SMAN 1, Bau-Bau 26810001

SMAN 1, Kendari 26710001

SMAN 1, Kendari 26710001

MATARAMSMAN 2, Mataram 28810001

SMAK Kesuma Cakranegara, Mataram 28820001

BATAMSMA Djuwita, Batam 16220002

SMA Global Indo Asia 16220003

SMA Mondial, Batam 16220005

SMA Yos Sudarso, Batam 16220001

SMAN 1 16210001

SMAN 2, Singkep 16210003

SMK Kartini, Batam 16220004

SMKN 1 16210002

SMAN 8, Batam 50910001

SMK Negeri 3, Batam 50910002

MANADOSMA Eben Haezer, Manado 31876003

SMA Advent (Kawangkoan), Manado 31876008

SMA Binaan Khusus, Manado 23220001

SMA Don Bosco, Manado 31876002

SMA International School 23220010

SMA Katolik Karitas, Tomohon 23220005

SMA Klabat, Manado 23220004

SMA Kristen 1, Tomohon 23220006

SMA Kristen 2 Binaan Khusus, Tomohon 23220008

SMA Kristen 2, Tomohon 23220009

SMA Lokon Tomohon, Manado 23220003

SMA Methodist 2, Manado 31876007

SMA MIS, Manado 23220002

SMA PGRI, Manado 23220007

SMA Rex Mundi, Manado 31876001

SMAN 1, Airmadidi 23210005

SMAN 1, Manado 31876005

SMAN 2, Manado 31876006

SMAN 3, Manado 23210003

SMAN 5, Manado 23210001

SMAN 6, Manado 23210004

SMAN 7, Manado 23210002

SMAN 9, Manado 31876004

SMAN 1, Motoling, Manado 23210006

SMAN 1, Rantahan, manado 23210007

SMK Kristen 1, Tomohon 53920001

GORONTALOSMAN 1, Gorontalo 23310001

KAB LUWUK/BANGGAISMAN 1, Luwuk 24210001

BENGKULUSMA Negeri 1 31919007

SMA St. Carolus, Bengkulu 31417001

SMA Xaverius, Curup 31417003

SMAN 1, Bengkulu 31417002

SMAN 4,Curup Bengkulu 31610002

SMAN 5, Bengkulu 31610001

RIAUSMA Cendana, Caltex, Riau 31413003

SMA Kalam Kudus, Riau 31413004

SMA St. Maria, Riau 31413001

SMAN 2 16110005

SMAN 1, Riau 31413002

SMAN 10, Pekan Baru 16110002

SMAN 3, Bengkalis 16110004

SMAN 5, Pekan baru 16110007

SMAN 8, Pekan Baru 16110001

SMAN 9, Pekan Baru 16110003

SMAN Plus Bina Bangsa 16120002

SMAN Plus, Pekan Baru 16120001

SMAN Simpangtiga, Pekan Baru 16110006

SMK Indra Sakti, Tanjung Pinang 16120003

SMA Wahidin Bangko, Riau 16820001

SMAN 1, Bengkalis 16110008

SMAN 1, Karimun, Riau 33910001

SMAN 1, Pekanbaru 16110009

SMA Handayani, Pekanbaru 16120004

SMA Cendana Duri/Mandau 16820002

KUPANGSMA Katolik Giovanni, Kupang 29420001

SMA Kristen Mercusuar, Kupang 29420003

SMA SKK, Kupang 29420002

SMA St. Yoseph, Kalabahi 29420004

SMAN 1, Kupang 29410001

SMAN 1, Rote Ndao, Lobalain 29410003

SMAN 4, Kupang 29410002

SMAK 1, Kupang 29420008

SMAN 2, Kupang 29410006

SMAN 3, Kupang 29410004

SMAN 6, Kupang 29410007

SMA Reformasi Plus Lse Trinity, Kupang 29420007

SMA Kristen Tunas Bangsa, Kupang 29420009

SMA Nusa Cendana International Plus School, Kupang

29420005

PANGKAJENESMAN 1, Pangkajene Sulawesi Selatan 25510001

TANA TORAJASMA 26320002

SMA Katolik Makale 26320003

SMA Lippo Scholars, Tanah Toraja 26320001

SMA Matan’allo, Ratepao 26320004

SMAN 1, Palopo 26310002

SMAN 1, Rantepao 24410008

SMAN 2, Rantepao 26310003

SMKN 1, Rantepao 26310004

UJUNG PANDANGSMA Cendrawasih, Makasar 31877004

SMA Dian Harapan, Makasar 24420003

SMA Frateran, Makasar 31877003

SMA Gamaliel, Makasar 31877001

SMA Kristen Barana, Makasar 24420001

SMA Kristen Diakui, Makassar 24420004

SMA Rajawali, Makasar 31877002

SMA Semen Tonasa, Makasar 24420006

SMAN 5, Makasar 24410005

SMAN 1 Watampone, Sulawesi Selatan 24410002

SMAN 1, Makale 24410007

SMAN 1, Makasar 24410001

SMAN 17, Makassar 24410004

SMAN 2, Makasar 24410003

SMAN 2, Palopo, Sel-sel 24410006

SMAN 3, Makasar 41710001

SMAN 6, Makasar 24410010

SMA Mulia Bhakti, Makasar 41720001

SMA Makasar Raya, Makasar 41720002

SMA Islam Athirah, Makasar, Sul-Sel 24420007

LUMAJANGSMAN Jatiroto, Lumajang 09410001

PADANGSMAN 1, Padang 31411003

SMAN 1, Panti Padang 14710001

SMAN Ahmad Yani, Padang 14720001

SMAN Don Bosco, Padang 31411002

SMAN Xaverius 1, Padang 31411001

SMAN 3, Padang 14710003

SMA ADABIAH, Padang

PEMATANG SIANTARSMA Kalam Kudus, Pematang Siantar 31412005

SMA Methodist, Pematang Siantar 12820006

SMA Sultan Agung, Pematang Siantar 13120001

SMA Swasta Mars, Pemantang Siantar 13120003

SMAN 4 Pematang Siantar 13110002

50

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

SMK PGRI 14, Pematang Siantar 13110004

SMKN 1, Pematang Siantar 13110003

BUKIT TINGGISMAN 1, Bukit Tinggi 15110001

TAPANULISMAN 1, Sayur Matinggi, Tapanuli Selatan 13710001

SIMALUNGUNSMAN 1, Girsang Sipangan Bolon 14210002

KAB. NIASSMA Swasta Pemda 1, Nias 13620004

SMAN 1, Bofomuzoi, Nias 13610005

SMAN 1, Gido, Nias 13610004

SMAN 1, Gunung Sitoli, Nias 13610006

SMAN 1, Idanogawo 13610009

SMAN 1, Lolofitu MOI, Nias 13610008

SMAN Unggulan Sukma, Nias 13610007

SMK Swasta Kristen BNKP, Gunung Sitoli, Nias

13620005

SMAN 3, Gunung Sitoli, Nias 13610003

SMA Lentera Harapan, Nias 13620002

SMA Katolik Bintang Laut, Nias Selatan, Sumut

12820024

JAMBISMAN 1, Jambi 31415001

SMAN 3, Jambi 31415003

SMAN 5, Jambi 31415004

SMAN Kristen Nomensen, Jambi 31415005

SMAN Taufik, Jambi 16920002

SMAN Titian Teras, Jambi 16920001

SMAN Xaverius 1, Jambi 31415002

SMAN Xaverius 2, Jambi 31415006

SMAN 1, Sungai Penuh, Jambi 16910001

SAMBASSMA Amkur, Sambas 19820001

PARE-PARESMAN 1, Pare-Pare 24510001

SANGGAUSMA Don Bosco, Sanggau 19920001

AMBONSMA Kartika XIII – 1, Ambon 27320002

SMA Kristen Mania, Ambon 27320006

SMA Kristen Rehobot, Ambon 27320005

SMA Kristen YPKPM, Ambon 27320003

SMA Negeri 1, Tanimbar Selatan, Maluku 27510001

SMA Negeri 3, Ambon 27310006

SMA Negeri 6, Ambon 27310007

SMA Ouikemene, Ambon 27320004

SMA Xaverius, Ambon 27320001

SMAN 1, Ambon 27310001

SMAN 11, Maluku 27310002

SMAN 12, Ambon 27310004

SMAN 2, Ambon 27310005

SMAN 4, Ambon 27310003

SMAN Siwalima, Ambon 27310008

SMA Persiapan Passo, Ambon 27320007

IRIAN JAYA / PAPUASMA Kalam Kudus, Jayapura 30820002

SMA Kristen Wawena, Jayawijaya 31520001

SMA MAF Jayapura 30820001

SMA Swasta, Jayapura 30820004

SMA YPK 1, Biak ( Papua) 30820003

SMA YPPK Agustinus, Sorong 31220001

SMA YPPK Gabungan, Jayapura 30810007

SMA YPPK Taruna Darma, Papua 30810001

SMA YPPK Teruna Bakti, Wamena 30620001

SMA YPPK Teruna Bakti, Wamena, Papua

30620001

SMAN 1, Jayapura 30810003

SMAN 1, Manokwari 30910001

SMAN 1, Sentani 30610001

SMAN 3, Jayapura 30810006

SMAN 45, Jayapura 30810005

SMAN 5, Jayapura 30610002

SMK Negeri 5, Jayapura 30810008

SMK 3, Jayapura 30810002

SMK Negeri 1, Jayapura 30810004

SMKN N5, Jayapura 30710001

SMA YPK Tabernakel, Nabire 31120002

SMA YPPK Yoanes, Merauke 31020001

SMAN 1, Sarmi 30810010

SMAN 2, Jayapura 30610004

SMA Kristen Anak Panah, Nabire 31120001

NAD / ACEHSMA Malem Putra 1, Banda Aceh 11720001

SMA Methodist, Banda Aceh 11720002

SMAN 1, Lhokseumawe, Aceh 35310001

SMAN 3, Banda Aceh 11710001

PALEMBANGSMA Bina Marga 1, Palembang 17720003

SMA Dharma Bakti, Palembang 17720004

SMA Diponegoro, Palembang 17710007

SMA Kusuma Bangsa, Palembang 31416009

SMA Methodist 1, Palembang 31416005

SMA Methodist 2, Palembang 31416006

SMA Methodist 4, Palembang 17720006

SMA PGRI 2, Palembang 17720007

SMA Xaverius 1, Palembang 31416001

SMA Xaverius 2, Palembang 17720001

SMA Xaverius 3, Palembang 31416002

SMA Xaverius 4, Palembang 31416003

SMA YPI Tunas Bangsa, Palembang 17720005

SMAN 1 Pramburaulih, Palembang 17710006

SMAN 1, Palembang 31416004

SMAN 2, Palembang 17710002

SMAN 3, Palembang 17710003

SMAN 5, Palembang 17710004

SMAN 17, Palembang 17710005

SMAN 18, Palembang 17710005

SMA LTI IGM 17720009

LAMPUNGSMA Fransiskus, Lampung 31418008

SMA Immanuel, Lampung 31418006

SMA Pangudi Luhur, Lampung 31418007

SMA Utama 2, Lampung 19120001

SMA Xaverius, Tanjung Karang 31418001

SMA Xaverius, Pringsewu 19220001

SMAK 1 BPK Penabur, Lampung 31418002

SMAN 1, Terbanggi Besar 19320001

SMAN 2, Lampung 31418003

SMAN 3, Lampung 31418004

SMAN 9, Lampung 31418005

SMAN 10, Lampung 19110001

SMAN 1 Pringsewu, Tenggamus-Lampung 36910001

SMA Lentara Harapan, Lampung Selatan 19220002

SMA Lentara Harapan, Lampung Timur 19320002

SMA Kristen 1, Metro, Bandar Lampung 19120002

SMA Dharma Bangsa, Bandar Lampung 19120004

SMA Al Kautsar, Bandar Lampung 19120006

SINGKAWANGSMAN 1, Singkawang 19620001

LUAR NEGERISMA LUAR NEGERI 33530001

LAIN-LAIND3 Alumni UPH STTPH 33310006

D3 D3 Keperawatan 33320030

Universitas Pelita Harapan, Surabaya

07820025

Peserta Olimpiade Fisika - TOFI 33320041

51

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES

52

Jenis Nama SMA Kode SMA Jenis Nama SMA Kode

SMA Jenis Nama SMA Kode SMA

TABL

ES