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    3 views1 page

    WWW - Sman1ciamis - Sch.id Goals@sman1ciamis - Sch.id

    Uploaded by

    daniel azhar

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    PEMERINTAH PROVINSI JAWA BARAT

    DINAS PENDIDIKAN
    DINAS PENDIDIKAN WILAYAH XIII
    SMA NEGERI 1 CIAMIS
    Jalan Gunung Galuh No. 37 Ciamis 46211 Telepon (0265) 771069
    Laman : www.sman1ciamis.sch.id E-mail : goals@sman1ciamis.sch.id
    CIAMIS 46211

    SURAT PENGAJUAN PERPINDAHAN


    Nomor : 636 /PK.03.03.04/SMAN1CMS

    Yang bertanda tangan dibawah ini kepala sekolah SMA NEGERI 1 CIAMIS Menerangkan bahwa :
    Nama : Daniel Azhar Nurhakim
    Tempat/Tanggal Lahir. : Banjar/23 Desember 2007
    NISN. : 0893682574
    Tahun Akademik : 2023/2024
    Nama Orang Tua. : Riana Wiyuliant (Alm)
    Rita Dwi Rachmawati

    Alamat : Jl. Ciwangan Rt/Rw 01/02, Desa Baregbeg, Kec Baregbeg, Kab
    Ciamis, Jawa Barat

    Nomor Ijazah/STTB. : 20238935293


    Tanggal Pindah : 11 September 2023
    Alasan Pindah : Keinginan Orang Tua
    Catatan. :-

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