Berita Acara.docx

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BERITA ACARA

DAFTAR HADIR PESERTA PENILAIAN AKHIR SEMESTER GASAL SMPIT AL KAHFI TAHUN PELAJARAN 2018/2019

PENYELENGGARAAN PENILAIAN AKHIR SEMESTER (PAS) GASAL SMPIT AL KAHFI TAHUN PELAJARAN 2018/2019

Pada hari ini .................... tanggal ....... bulan ............... tahun dua ribu delapan belas, 1. Telah diselenggarakan Penilaian Akhir Semester dari pukul .......... s/d pukul .......... Jumlah peserta seharusnya : ...................... siswa Hadir : ..................... siswa, yakni nomor .................................................................... Tidak hadir : ........................... siswa, yakni nomor : ................................................... 2. Telah dibuka sampul naskah ujian : ................................... *) dengan nomor Kode ..................... **) di ruang ujian disaksikan oleh peserta, sebanyak ............ eksemplar, berita acara ........ eksemplar, dan daftar hadir sebanyak ....... eksemplar. Sebelum dibuka, sampul tersebut dalam keadaan baik. 3. Catatan selama pelaksanaan Penilaian Akhir Semester ......................................................................................................................................... ......................................................................................................................................

Rembang, ................................ 2018 Pengawas 1

Pengawas 2

Tanda Tangan : ........................

Tanda Tangan : ........................

Nama

Nama

: .......................

: .......................

Mata Pelajaran : .............................. Jumlah peserta yang hadir : ............................... Jumlah peserta yang tidak hadir : ............................. NO NAMA PESERTA NOMOR UJIAN TANDA TANGAN 1 ........................................................ ............................. 1 2 ........................................................ ............................. 2 3 ........................................................ ............................. 3 4 ........................................................ ............................. 4 5 ........................................................ ............................. 5 6 ........................................................ ............................. 6 7 ........................................................ ............................. 7 8 ........................................................ ............................. 8 9 ........................................................ ............................. 9 10 ........................................................ ............................. 10 11 ........................................................ ............................. 11 12 ........................................................ ............................. 12 13 ........................................................ ............................. 13 14 ........................................................ ............................. 14 15 ........................................................ ............................. 15 16 ........................................................ ............................. 16 17 ........................................................ ............................. 17 18 ........................................................ ............................. 18 19 ........................................................ ............................. 19 20 ........................................................ ............................. 20 Rembang, ................................ 2018 Pengawas 1 Pengawas 2 Tanda Tangan : ........................

Tanda Tangan : ........................

Nama

Nama

*) Diisi dengan mata pelajaran yang diujikan pada PAS **) Diisi sesuai dengan kode/nomor yang tercantum pada sampul

: .......................

: .......................

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