Said

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Format 1 : Format Usulan Penerima STKIP PGRI SITUBONDO PROGRAM PENINGKATAN KUALIFIKASI S1/D4 BAGI GURU TAHUN 2010

DAFTAR NAMA PENERIMA BANTUAN BIAYA PENINGKATAN KUALIFIKASI GURU S1/D4 Nama PT

: STKIP PGRI Situbondo

Status

: Terakreditasi B

Fakultas/Prodi

: P.IPS/ Pendidikan Ekonomi

Telepon/Fax

: (0338) 678745/ (0338) 678745

Email

: [email protected]

NAMA NO

NIM

MAHASISWA/ GURU

NUPTK

TEMPAT/

NIP

TGL. LAHIR

TAHUN

SEMESTER

IPK

MASUK

JUMLAH

STATUS

KUALIFIKASI

NO. SK

JAM

GURU

PENDIDIKAN

TEMPAT

TERAKHIR

MENGAJAR/

NAMA

UNIT KERJA

SEKOLAH

MENGAJAR (PNS,GTT,

GTY) 1

1

2

3

2007110707B said baidawi 0259

4

2838764665200020 situbondo

5

6

5

1986

6

7

8

9

10

11

12

-

2007/2008

IV

3

24

GTT

SMA

UNIT KERJA/TEMPAT MENGAJAR NSS

13

814/41/431.214.7.8.24/2007

14

SD NEGERI 3 KLATAKAN

10105230502

RU

KASI GURU S1/D4 Terakreditasi

: BAN - PT

SK Sertifikat

: 028/BAN-PT/AK-IX/S1/1/2006

Predikat

:B

Jenjang *

:

UNIT KERJA/TEMPAT

No KTP

MENGAJAR

YANG ALAMAT

14

Kp. Semekan Utara klatakan kendit situbondo

TELP/FAX

BERLAKU

MASA KERJA

TAHUN BULAN

15

81336616056 35.1205.060586.0001

16

2

4

NOMOR REKENING YANG

Nama Bank Nama Bank Cabang

BERLAKU 17

18

19

-

bank jatim

situbondo

Ketua STKIP PGRI Situbondo

Drs. H. JOHN HARISANTOSO, MM NIP. 196312061990031001

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