YAYASAN MAJLIS TAFSIR AL QURAN

SEKOLAH MENENGAH ATAS

SMA MTA SURAKARTA
TERAKREDITASI A
AL AM AT : J al a n K y a i M oj o S em a ngg i P as ar kl iw o n S ur a kar t a Te lp. 0 27 1 63 48 22 F ax. 0 27 1 63 48 62
W e b s i t e : www.smamta-ska.sch.id
e - m a i l : smamta-slo@indo.net.id

REGISTRASI KEPEMILIKAN LAPTOP

SMA MTA SURAKARTA
1.
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5.
6.

Nama
Tempat /tgl Lahir
NIS/ NISN
Kelas
Keterangan Asrama
Orang Tua
a. Ayah
Nama
Umur
Pekerjaan
Alamat
No. HP
b. Ibu
Nama
Umur
Pekerjaan
No. HP

7. Spesifikasi Laptop
Merk
Seri
User Name
Password

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Surakarta,

Januari 2016

Mengetahui Orang Tua Siswa

Pemilik/ pemegang

(.)

(.)

Mengetahui Waka Kesiswaan

Mengetahui Kepala Asrama

Tutut Kumoro Wibowo, S.Pd

(.)

Catatan: Pemegang laptop dan orang tua siswa mengetahui tata tertib penggunaan laptop SMA MTA SKA.