Izin Keluar

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SURAT IZIN KELUAR SURAT IZIN KELUAR

Diberikan Kepada : Diberikan Kepada :

Nama : Nama :

Kelas/Jurusan : Kelas/Jurusan :

Keperluan : Keperluan :

Cimahi, .......................... 20.... Cimahi, .......................... 20....

Mengetahui, Mengetahui,
Kesiswaan Guru Bersangkutan Kesiswaan Guru Bersangkutan

(.................................) (...............................) (.................................) (...............................)

SURAT IZIN KELUAR SURAT IZIN KELUAR

Diberikan Kepada : Diberikan Kepada :

Nama : Nama :

Kelas/Jurusan : Kelas/Jurusan :

Keperluan : Keperluan :

Cimahi, .......................... 20.... Cimahi, .......................... 20....

Mengetahui, Mengetahui,
Kesiswaan Guru Bersangkutan Kesiswaan Guru Bersangkutan

(.................................) (...............................) (.................................) (...............................)

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