Nomor Statistik Sekolah

Format PK-2

NAMA SEKOLAH
:
.............................................................................
STATUS SEKOLAH
:
.............................................................................
ALAMAT
:
.............................................................................
DESA
:
.............................................................................
KECAMATAN
:
.............................................................................
KABUPATEN
:
.............................................................................
PROPINSI
:
.............................................................................
DAFTAR PEMBAGIAN TUGAS MENGAJAR BAGI GURU
TAHUN PELAJARAN :............................................
SEMESTER
:............................................
N
O
(1
)

Nama
NIP
(2)

Gol/
Ruan
g
(3)

Jabatan

Mengajar
Di Kelas

(4)

(5)

Jml Jam
Mengaj
ar
(6)

Ket
(7)

Jayakerta,.........................
Kepala Sekolah

NIP:.................

Format PK-

Nomor Statistik Sekolah

NAMA SEKOLAH
:
.............................................................................
STATUS SEKOLAH
:
.............................................................................
ALAMAT
:
.............................................................................
DESA
:
.............................................................................
KECAMATAN
:
.............................................................................
KABUPATEN
:
.............................................................................
PROPINSI
:
.............................................................................
DAFTAR PEMERIKSAAN RPP
TAHUN PELAJARAN :............./..................
No

Nama Guru

Mata
Pelajaran
3

Smt
r
4

Kls

Tgl

Hasil

Jayakerta,...............................
Kepala Sekolah

NIP:................

Format PKNomor Statistik Sekolah

NAMA SEKOLAH
:
.............................................................................
STATUS SEKOLAH
:
.............................................................................
ALAMAT
:
.............................................................................
DESA
:
.............................................................................
KECAMATAN
:
.............................................................................
KABUPATEN
:
.............................................................................
PROPINSI
:
.............................................................................
DAFTAR PENYELESAIAN KASUS DI SEKOLAH
SELAMA TAHUN PELAJARAN
:............../...............
No

Nama Guru

(1
)

(2)

Tgl
Kejadi
an
(3)

Uraian
Kasus
(4)

Cara
Penyelesaia
n
(5)

Tindak
Lanjut

Ket

(6)

(7)

Jayakerta,.............................
Kepala Sekolah

NIP:..................
Format PKNomor Statistik Sekolah

NAMA SEKOLAH
:
.............................................................................
STATUS SEKOLAH
:
.............................................................................
ALAMAT
:
.............................................................................
DESA
:
.............................................................................
KECAMATAN
:
.............................................................................
KABUPATEN
:
.............................................................................
PROPINSI
:
.............................................................................
DAFTAR HASIL PENILAIAN UJIAN AKHIR SEKOLAH
TAHUN PELAJARAN :..................../...................
Nomor

Ur
t
(1
)

Ind
k
(2)

U
S
(3
)

Nam
a

L
P

Tmpa
t
Tgl
Lahir

(4)

(
5

(6)

Nama
Orang
Tua
siswa
(7)

Mata Pelajaran

9 1
0

1
1

1
2

1
3

1
4

JL
M

1
5

1
6

17

Nilai
Rata
2

18

Jayakerta,...................................
Kepala Sekolah

Format PKNomor Statistik sekolah

NAMA SEKOLAH
:
.............................................................................
STATUS SEKOLAH
:
.............................................................................
ALAMAT
:
.............................................................................
DESA
:
.............................................................................
KECAMATAN
:
.............................................................................
KABUPATEN
:
.............................................................................
PROPINSI
:
.............................................................................
REKAPITULASI KENAIKAN KELAS /KELULUSAN
TAHUN PELAJARAN :.................../...........
N
O
1

Kelas

Banyak Murid
L

Jumla
h
5

Banyak Murid yg naik

kelas/lulus
L
P
Jumlah Persenta
se
6
7
8
9

Banyak murid yg tidak naik

kelas/lulus
L
P
Jumlah Persentas
e
10 11
12
13

Jayakerta,........................................
Kepala Sekolah

Format PK-

Nomor Statistik sekolah

NAMA SEKOLAH
:
.............................................................................
STATUS SEKOLAH
:
.............................................................................
ALAMAT
:
.............................................................................
DESA
:
.............................................................................
KECAMATAN
:
.............................................................................
KABUPATEN
:
.............................................................................
PROPINSI
:
.............................................................................

DAFTAR PENYERAHAN IJAZAH KEPADA LULUSAN UJIAN SEKKOLAH

TAHUN PELAJARAN :.............................................................
Nomor
Uru Induk
t
1
2

Nama dan foto/

NISN

L/
P

No Ijazah

Tanggal
Penyerah
an
6

Tanda
Tangan
7

Jayakerta,...............................................
Kepala Sekolah

NIP:...................
Nomor Statistik

Format PKSekolah

NAMA SEKOLAH
:
.............................................................................
STATUS SEKOLAH
:
.............................................................................
ALAMAT
:
.............................................................................
DESA
:
.............................................................................
KECAMATAN
:
.............................................................................
KABUPATEN
:
.............................................................................
PROPINSI
:
.............................................................................
REKAPITULASI PELAKSANAAN SUPERVISI KELAS
TAHUN PELAJARAN :...................................
N
o
1

Nama
Guru
2

Mat
a
Pelj.
3

Kela
s
4

Bln Mg
Ke...
1 2 3
5 6 7

4
8

Bln Mg
Ke......
1 2 3
9 1 1
0 1

4
1
2

Bln Mg Ke......

Bln Mg Ke.......

1
1
3

1
1
7

2
1
4

3
1
5

4
1
6

2
1
8

3
1
9

4
2
0

Ke
t
21

Jayakerta,.......................................................

Kepala Sekolah

NIP:.....................

Format PK-

Nomor Statistik

Sekolah

NAMA SEKOLAH
:
.............................................................................
STATUS SEKOLAH
:
.............................................................................
ALAMAT
:
.............................................................................
DESA
:
.............................................................................
KECAMATAN
:
.............................................................................
KABUPATEN
:
.............................................................................
PROPINSI
:
.............................................................................

HUBUNGAN KEMASYARAKATAN
TAHUN PELAJARAN :.........................................
No Urut
1

Jenis Kegiatan yang dilakukan dengan

Komite Sekolah
Media Massa
Lembaga Lainnya
2
3
4

Jayakerta,................................................
Kepala Sekolah

NIP:....................

Forma PK-10
Nomor Statistik Sekolah

NAMA SEKOLAH
:
.............................................................................
STATUS SEKOLAH
:
.............................................................................
ALAMAT
:
.............................................................................
DESA
:
.............................................................................
KECAMATAN
:
.............................................................................
KABUPATEN
:
.............................................................................
PROPINSI
:
.............................................................................

LAPORAN
PENILAIAN HASIL BELAJAR SEKOLAH DASAR

NAMA SEKOLAH
:
.............................................................................
STATUS SEKOLAH
:
.............................................................................
ALAMAT
:
.............................................................................
DESA
:
.............................................................................
KECAMATAN
:
.............................................................................
KABUPATEN
:
.............................................................................
PROPINSI
:
.............................................................................

NAMA SEKOLAH
:
.............................................................................
STATUS SEKOLAH
:
.............................................................................
ALAMAT
:
.............................................................................
DESA
:
.............................................................................
KECAMATAN
:
.............................................................................
KABUPATEN
:
.............................................................................
PROPINSI
:
.............................................................................

NAMA SEKOLAH
:
.............................................................................
STATUS SEKOLAH
:
.............................................................................
ALAMAT
:
.............................................................................
DESA
:
.............................................................................
KECAMATAN
:
.............................................................................
KABUPATEN
:
.............................................................................
PROPINSI
:
.............................................................................