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BIODATA PESERTA JURNAL PTK/ PTS
NAMA :____________________________________________
NIP :____________________________________________
TEMPAT/ TGL LAHIR :____________________________________________
NO. HP :____________________________________________
E-MAIL :____________________________________________
ALAMAT :____________________________________________
INSTANSI TUGAS :____________________________________________
JABATAN TERAKHIR :____________________________________________
LAPORAN PTK YANG INGIN DIBUAT
No
Tahun
Pelajaran
Kelas/
Semester
Mata
Pelajaran
Nama Sekolah
Nama Kepsek dan
NIP
1
2
3
LAPORAN PTS YANG INGIN DIBUAT
No
Tahun
Pelajaran
Tempat
Penelitian
Sekolah Binaan Nama Pengawas/ NIP
1
2
3
........................................2018
Peserta
............................................
NIP. ....................................

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Formulir ptk dan jurnal

  • 1. BIODATA PESERTA JURNAL PTK/ PTS NAMA :____________________________________________ NIP :____________________________________________ TEMPAT/ TGL LAHIR :____________________________________________ NO. HP :____________________________________________ E-MAIL :____________________________________________ ALAMAT :____________________________________________ INSTANSI TUGAS :____________________________________________ JABATAN TERAKHIR :____________________________________________ LAPORAN PTK YANG INGIN DIBUAT No Tahun Pelajaran Kelas/ Semester Mata Pelajaran Nama Sekolah Nama Kepsek dan NIP 1 2 3 LAPORAN PTS YANG INGIN DIBUAT No Tahun Pelajaran Tempat Penelitian Sekolah Binaan Nama Pengawas/ NIP 1 2 3 ........................................2018 Peserta ............................................ NIP. ....................................