DESY EDUCATION

Overseas Education Consultant and Translation Service

Decree of the Minister of Law and Human Right, Number of AHU-2451.04 / 2013
Jl. Jaksa Agung Suprapto 39, Banyuwangi – East Java Province 68411
Phone (62-333) 3381587, Fax. 424461, www.desyeducation.com

Name of Student : JENNIFER DAENG MALLONGI Grade / Interest : XII / Mathematics & Natural Science - 2
Student ID Number : 8875 Semester : 2 / Even
National Student Registration : 0028579781 School Year : 2019 / 2020
Number

D. Extracurricular

N
Extracurricular Activity Predicate Description
o
Good in mastering disaster preparedness materials and first aid
1 School Health/Red Cross Teen B
of School Health/Red Cross Teen
2 - - -
3 - - -
4 - - -

E. Achievement

N
Type of Achievement Note
o
1 - -
2 - -
3 - -
4 - -

F. Presence

1 Sick 0 day(s)
2 Permission 0 day(s)
3 No Reason 0 day(s)
Total - day(s)

G. Note of Class Guardian

Always tries to obey the school rules and obey to teacher. Always tries to be independent and on time in doing task. Always
keeps good reputation of the school everywhere.

H. Response of Parents/Guardian

-
Note of Grade Promotion: PROMOTED to XII grade (12th)
Known, Banyuwangi, May 2, 2020
Parents/Guardian Class Guardian

(Signed)

……………………… MARSIYAH, S.Pd.

 Decision,
Based on learning outcome earned from
Grade X, XI, XII, the students be avowed
PASSED

Known,
Headmaster

(Stamped & Signed)

Drs. H. RODIWANTO, MM
NIP. 19631111 198903 1 009

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WE CERTIFY THIS TRANSLATION TO BE TRUE AND ACCURATE
DESY EDUCATION, Overseas Education Consultant and Translation Service
Legally Accredited by National Accreditation Board, No: 001/STS/T-AKR/BAN/PNF/2010
Banyuwangi, June 03, 2021

Handoyo Saputro, M.Si, M.MPd