Surat Pernyataan Siswa

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PEMERINTAH KABUPATEN PANGANDARAN

DINAS PENDIDIKAN PEMDUA DAN OLAHRAGA

SMP NEGERI 2 PANGANDARAN
Jalan Sukahurip No.35 Pangandaran Kode Pos 46596

SURAT TUGAS
Nomor : 421/ /SMP.02/Disdikpora/2018

Yang bertanda tangan dibawah ini kepala sekolah SMP Negeri 2 Pangandaran Kabupaten Pangandaran
memberikan tugas kepada :

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

Nip : .........................................................................................................................................
Jabatan : .........................................................................................................................................

Untuk melaksankan Home Visit / Konsultasi dengan orang Tua/ Wali,

Nama : ..........................................................................................................................................
Kelas : ..........................................................................................................................................

Demikian surat tugas ini dibuat untuk diperhatikan dan dilaksanakan sebagaimana mestinya.

Yang diberi Tugas, Pangandaran,

Kepala SMP N 2 Pangandaran

..................................................... Drs.HERDIS SURYANA., M.Pd

NIP. NIP. 19700212 199412 1 003

Telah tiba tanggal :..............................................

Dan melakukan home visit
Orang tua / wali siswa

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