Surat Ijin BK BP 2009

F 83.BK.3 F 83.BK.
3
1/13-07-09 1/13-07-09
LEMBAGA PENDIDIKAN MAÀRIF NU CAB. BANYUMAS LEMBAGA PENDIDIKAN MAÀRIF NU CAB. BANYUMAS
SMK MAÀRIF NU 1 AJIBARANG SMK MAÀRIF NU 1 AJIBARANG
Alamat : Jl. Raya Ajibarang – Tegal Km. 1 Ajibarang Alamat : Jl. Raya Ajibarang – Tegal Km. 1 Ajibarang
Telp./Fax. (0281) 571284 Kode Pos 53163 Telp./Fax. (0281) 571284 Kode Pos 53163
SURAT IJIN MASUK SURAT IJIN MASUK
Nama : ......................................... Nama : .........................................

Kelas/Jurusan : ....... / TAV / TMO / TKJ *) Kelas/Jurusan : ....... / TAV / TMO / TKJ *)
Jam Ke : ......................................... Jam Ke : .........................................
Keterangan/Alasan : ......................................... Keterangan/Alasan : .........................................
Ajibarang, ..... ............. 20.. Ajibarang, ..... ............. 20..
Petugas, Petugas,
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F 83.BK.3 F 83.BK.3
1/13-07-09 1/13-07-09
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Jam Ke : ......................................... Jam Ke : .........................................
Petugas, Petugas,
.................................. ..................................
F 83.BK.3 F 83.BK.3
1/13-07-09 1/13-07-09
Nama : ......................................... Nama : .........................................

Jam Ke : ......................................... Jam Ke : .........................................
Petugas, Petugas,
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F 83.BK.4 F 83.BK.4
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SURAT IJIN KELUAR SEMENTARA SURAT IJIN KELUAR SEMENTARA
Nama : ......................................... Nama : .........................................

Jam Ke : ......................................... Jam Ke : .........................................
Petugas BK, Satpam, Guru Kelas Petugas BK, Satpam, Guru Kelas
......................... ....................... ............................ ......................... ....................... ............................
F 83.BK.4 F 83.BK.4
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Jam Ke : ......................................... Jam Ke : .........................................
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F 83.BK.4 F 83.BK.4
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Jam Ke : ......................................... Jam Ke : .........................................
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F 83.BK.5 F 83.BK.5
1/13-07-09 1/13-07-09
SURAT IJIN PULANG SURAT IJIN PULANG
Nama : ......................................... Nama : .........................................

Jam Ke : ......................................... Jam Ke : .........................................
Petugas BK/WKS2, Satpam, Guru Kelas Petugas BK/WKS2, Satpam, Guru Kelas
......................... ....................... ............................ ......................... ....................... ............................
F 83.BK.5 F 83.BK.5
1/13-07-09 1/13-07-09
Nama : ......................................... Nama : .........................................

Jam Ke : ......................................... Jam Ke : .........................................
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F 83.BK.5 F 83.BK.5
1/13-07-09 1/13-07-09
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Jam Ke : ......................................... Jam Ke : .........................................
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Surat Ijin BK BP 2009

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F 83.BK.3 F 83.BK.

SURAT IJIN MASUK SURAT IJIN MASUK

Nama : ......................................... Nama : .........................................

SURAT IJIN MASUK SURAT IJIN MASUK

Nama : ......................................... Nama : .........................................

SURAT IJIN MASUK SURAT IJIN MASUK

Nama : ......................................... Nama : .........................................

SURAT IJIN KELUAR SEMENTARA SURAT IJIN KELUAR SEMENTARA

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SURAT IJIN KELUAR SEMENTARA SURAT IJIN KELUAR SEMENTARA

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SURAT IJIN KELUAR SEMENTARA SURAT IJIN KELUAR SEMENTARA

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SURAT IJIN PULANG SURAT IJIN PULANG

Nama : ......................................... Nama : .........................................

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SURAT IJIN PULANG SURAT IJIN PULANG

Nama : ......................................... Nama : .........................................

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SURAT IJIN PULANG SURAT IJIN PULANG

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