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MONITORING

SISWA PENDIDIKAN SISTEM GANDA (PSG)


TAHUN PELAJARAN 2013/2014
8. Nama Bengkel/Perusahaan

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

9. Nama Pimpinan Perusahaan

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

10. Bidang Usaha Perusahaan

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

11. Alamat & No. Telepon Perusahaan : ........................................................................


12. Jumlah Siswa PSG

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

13. Tanggal Berangkat PSG

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

14. Tanggal Selesai PSG

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

PEMERINTAH KABUPATEN MUSI BANYUASIN

DINAS PENDIDIKAN NASIONAL

SMK NEGERI 1 BAYUNG LENCIR


Jl. Raya Palembang-Jambi KM 220 Desa Mekar Jaya Kec. Bayung Lencir 30756

MONITORING
SISWA PENDIDIKAN SISTEM GANDA (PSG)
TAHUN PELAJARAN 2013/2014
1. Nama Bengkel/Perusahaan

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

2. Nama Pimpinan Perusahaan

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

3. Bidang Usaha Perusahaan

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

4. Alamat & No. Telepon Perusahaan : ........................................................................


5. Jumlah Siswa PSG

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

6. Tanggal Berangkat PSG

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

7. Tanggal Selesai PSG

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

PEMERINTAH KABUPATEN MUSI BANYUASIN

DINAS PENDIDIKAN NASIONAL

SMK NEGERI 1 BAYUNG LENCIR


Jl. Raya Palembang-Jambi KM 220 Desa Mekar Jaya Kec. Bayung Lencir 30756

MONITORING KE
HARI / TANGGAL
N
o

: .....................................................................
: .....................................................................
KETERAMPIL

KEDISIPLINA

AN

NAMA SISWA
B

KERJASAMA

KETERANGA
N

1
2
3
4
Keterangan :

B = Baik

S = Sedang

K = Kurang

Tindak lanjut Guru Pembimbing terhadap permasalahan siswa :


........................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................
Saran dan informasi dari Bengkel/Perusahaan
........................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................

Pimpinan Perusahaan/Bengkel

Guru Pembimbing

.......................................................................

MONITORING KE
HARI / TANGGAL
N
o

................................................................

: .....................................................................
: .....................................................................
KETERAMPIL

KEDISIPLINA

AN

NAMA SISWA
B

KERJASAMA

KETERANGA
N

1
2
3
4
Keterangan :

B = Baik

S = Sedang

K = Kurang

Tindak lanjut Guru Pembimbing terhadap permasalahan siswa :


........................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................
Saran dan informasi dari Bengkel/Perusahaan
........................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................

Pimpinan Perusahaan/Bengkel

.......................................................................

Guru Pembimbing

................................................................