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License Sheet License Sheet License Sheet

Name :________________ Class : _______ Name :________________ Class : _______ Name :________________ Class : _______

I can’t join studying on 1st to 3rd periode I can’t join studying on 1st to 3rd periode I can’t join studying on 1st to 3rd periode

Day : ___________ Date : ___________ Day : ___________ Date : ___________ Day : ___________ Date : ___________

Reason : ______________________________ Reason : ______________________________ Reason : ______________________________

Signature, Signature, Signature,

Mr. Achmad Farij AM, S.Pd. Mr. Achmad Farij AM, S.Pd. Mr. Achmad Farij AM, S.Pd.
License Sheet License Sheet License Sheet

Name :________________ Class : _______ Name :________________ Class : _______ Name :________________ Class : _______

I can’t join studying on 1st to 3rd periode I can’t join studying on 1st to 3rd periode I can’t join studying on 1st to 3rd periode

Day : ___________ Date : ___________ Day : ___________ Date : ___________ Day : ___________ Date : ___________

Reason : ______________________________ Reason : ______________________________ Reason : ______________________________

Signature, Signature, Signature,

Mr. Achmad Farij AM, S.Pd. Mr. Achmad Farij AM, S.Pd. Mr. Achmad Farij AM, S.Pd.
License Sheet License Sheet License Sheet

Name :________________ Class : _______ Name :________________ Class : _______ Name :________________ Class : _______

I can’t join studying on 1st to 3rd periode I can’t join studying on 1st to 3rd periode I can’t join studying on 1st to 3rd periode

Day : ___________ Date : ___________ Day : ___________ Date : ___________ Day : ___________ Date : ___________

Reason : ______________________________ Reason : ______________________________ Reason : ______________________________


Signature, Signature, Signature,

Mr. Achmad Farij AM, S.Pd. Mr. Achmad Farij AM, S.Pd. Mr. Achmad Farij AM, S.Pd.

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