Instrumen-verifikasi-unbk.docx

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INSTRUMEN VERIFIKASI PENYELENGGARA UJIAN NASIONAL BERBASIS KOMPUTER TAHUN PELAJARAN 2016/2017

1

Direktorat Pembinaan Sekolah Menengah Kejuruan Direktorat Jenderal Pendidikan Dasar dan Menengah Kementerian Pendidikan dan Kebudayaan Tahun 2017

2

INSTRUMEN VERIFIKASI PENYELENGGARA UJIAN NASIONAL BERBASIS KOMPUTER TAHUN PELAJARAN 2016/2017

A.

DATA SMK

No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1.

Status Sekolah

: Negeri/Swasta*

2.

NPSN

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

3.

Nama SMK

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

4.

Alamat SMK

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

5.

Provinsi

: Jawa Timur

6.

Kabupaten/Kota

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

7.

Email

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

8.

Telp/Fax

: ............................................... / .................................................

Nama Paket/Kompetensi Keahlian

Kurikulum yang digunakan di kelas XII 2006/2013* 2006/2013* 2006/2013* 2006/2013* 2006/2013* 2006/2013* 2006/2013* 2006/2013* 2006/2013* 2006/2013* 2006/2013* 2006/2013* 2006/2013* 2006/2013* 2006/2013*

Jumlah Siswa

*coret yang tidak perlu

3

B.

PENANGGUNGJAWAB

1.

Nama Kepala Sekolah

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

2.

No HP Kepala Sekolah : .....................................................................................................

3.

NIP Kepala Sekolah

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

4.

Email Kepala Sekolah

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

5.

Nama Proktor Utama

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

6.

No HP Proktor Utama

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

7.

Email Proktor Utama

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

8.

Nama Teknisi Utama

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

9.

No HP Teknisi Utama

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

10. Email Teknisi Utama

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

MASALAH YANG DI HADAPI

Mengetahui, Kepala Sekolah/Mewakili

.

- 04 - 2017

Petugas Verifikasi, 11

.

12

13

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