DATA SINKRONISASI DAPODIK PAUD

SEMESTER II TAHUN PELAJARAN 2015-2016

NAMA LEMBAGA
DESA
NAMA PENGELOLA
Tgl/Bln/Thn. Berdiri
Tgl. Verifikasi

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Provinsi
Kab/Kota
Kecamatan

: Jawa Barat
: Kab. Cianjur
: Tanggeung

A. Identitas Sekolah
Nama Sekolah
NPSN / NSS
Jenjang Pendidikan
Status Sekolah

B. Lokasi Sekolah
- Alamat (Jln./Kp. )
RT/RW
Nama Dusun
Desa/Kelurahan
Kode pos
Kecamatan
- Titik Kordinat
Lintang
Bujur
C. Data Pelengkap Sekolah
- Pelayanan Kebutuhan Khusus
Kebutuhan Khusus yg dilayani
(di isi jika Ya)
- No. SK Pendirian Lembaga
Tgl. SK Pendirian Lembaga
- Di keluarkan oleh
-

Status Kepemilikan
Memiliki Izin Operasional

- Pemberi Izin Operasional

No. SK Izin Operasional
Tgl SK Izin Operasional
Masa berlaku mulai tanggal
- Status Akreditasi
Di isi jika belum
Pengajuan Akreditasi
Di isi jika sudah akreditasi
No. SK Akreditasi
Tgl. SK Akreditasi
- Sumber Pendanaan Utama

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SPS / KB / TK / TPA / TPQ
Negeri / Swasta

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43267
Tanggeung

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: Ya / Tidak
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: ........................................................................................
: dst. Boleh di tambahkan
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:: ........................................................................................
Pemerintah Pusat /
: ........................................................................................
Pemerintah
Daerah /
Kecamatan / Desa / Yayasan /
Lain nya
: Jika lainnya sebutkan .....................................................
: Belum
/ Memiliki
Proses memiliki
pengajuan
baru /
Proses Perpanjangan
: ........................................................................................
: ........................................................................................
: ........................................................................................
: ........................................................................................
: Sudah / Belum
: Proses pengajuan / belum mengajukan
: 2015 / 2016 / 2017

: ........................................................................................
: ........................................................................................
: Iuran Orangtua/ Yayasan / Donatur Tetap / APBN/ APBD

- No. Rekening BOP /Lembaga

Nama Bank
Cabang / KCP Unit
Rekening Atas Nama

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- Status
Kepemilikan
Nama Yayasan
(di isi jika dibawah
- naungan yayasan )
No. Akta Yayasan/Lembaga
Tanggal Akta Yayasan
Kelompok Yayasan
- SK Menkumham
No. SK Menkumham
Tanggal SK Menkumham

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Ada / Tidak Ada
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Ya / Tidak
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Milik Sendiri / Milik Pemerintah / Pinjam pakai atau sew

Toilet / WC
Siswa
Guru
- Kondisi Bangunan
- Waktu Penyelenggaraan
- Kedudukan dalam Gugus PAUD
Jumlah Anggota (Jika PAUD Inti)
Nama PAUD Inti (Jika Imbas)
SK Pembentukan Gugus PAUD
No. SK Pembentukan Gugus PAUD
Tanggal SK Pembentukan Gugus
Masa Berlaku / Tanggal Perubahan

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1 / 2 / 3 / lebih dari 3
..................... / .........................
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........................................................................................
........................................................................................
dst.
Milik Sendiri / Bukan Milik
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........................................................................................
Baik / Rusak Ringan / Rusak Sedang / Rusak Berat
Pagi / Siang / Sore / Kombinasi
Inti / Imbas / Belum Ikut
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dari .................... ...........................................................
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D. Kontak Sekolah
Nomor Telepon
Nomor Fax
Email
Website
No. HP Pengelola/Kepala
No. HP Operator/T Administrasi
No. Hp. Bendahara BOP

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Lembaga memiliki Manajemen

- Berbasis Sekolah (MBS)
- Luas Tanah Milik
Luas Tanah Bukan Milik
Luas Tanah Milik dan Bukan Milik
- Kepemilikan bangunan
Ruang Kelas belajar
Ruang pendidik / pengelola
Ruang Tunggu
Ruangan lainnya (jika ada )

E. Data Periodik
- Kategori Wilayah

: Wilayah Terpencil / Terluar / Terdalam / Perkotaan

Daya Listrik
Akses Internet
Sumber Listrik
Sertifikasi ISO

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:
:
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450 / 900 / 1200 / tidak ada

Ada / Tidak Ada
PLN / Jenset / Lainnya
Belum Bersertifikat / Sudah Bersertifikat

DAPODIK PAUD

JARAN 2015-2016

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m mengajukan

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/ Donatur Tetap / APBN/ APBD

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erintah / Pinjam pakai atau sewa

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sak Sedang / Rusak Berat
ombinasi

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ar / Terdalam / Perkotaan

dah Bersertifikat

Cianjur, .................................... 2016

Kepala Satuan PAUD
......................................................

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F. DATA PESERTA DIDIK

Diambil dari data terbaru April 2016
Jumlah Peserta Didik
L
P

- SISWA MENURUT USIA

Usia

Total

< 2 TAHUN
2 - 3 TAHUN
3 - 4 TAHUN
4 - 5 TAHUN
5-6 TAHUN
> 6 TAHUN
Total
- SISWA MENURUT AGAMA
Agama
Islam
Kristen, Katolik, Hindu, Budha,
Konghucu
Total
- SISWA MENURUT PENGHASILAN ORANG TUA (AYAH + IBU + WALI)
Penghasilan
L
P
Tidak di isi
Kurang dari Rp. 500,000
Rp. 500,000 - Rp. 1 jt
Rp. 1,000,000 - Rp. 2 jt
Rp. 2,000,000 - Rp. 5 jt
Rp. Lebih dari 5,000,000
Total

Cianjur, .................................... 2
Kepala Satuan PAUD

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Total

Total

Total

........................... 2016
n PAUD

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G. Data Pendidik dan Tenaga Kependidikan (PTK)

JK
No

Nama

Gelar

NIP

NUPTK
L

1
2
3
4
5
6
7
8
9
10
11
12

Jumlah PTK
L

Keterangan

Total

Pendidikan
Terakhir

Jurusan/
Prodi

Pendidik / T.
Kependidikan

Jabatan

Keterangan
TMT Kerja

Tugas
Tambahan

Mengajar

Cianjur, .................................... 2016

Kepala Satuan PAUD
......................................................

Jumlah
Jam Per
Minggu

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B. Data Prasarana
Presentase Kondisi Semua Prasarana
No
1
2
3

Nama Prasarana
Jamban
Madin
Tempat Ibadah

Panjang (m)

Lebar (m)

2
5
12

3
7
9

Penutup Atap
0
10
0

K
Rangka Atap Lipslang/Talang Rangka Plafon Penutup Listplafon Cat Plafon
0
0
0
0
0
3
10
3
10
2
0
0
0
0
0

Kondisi Kerusakan Prasarana (%)

Kolom Ring Balok Bata/Dinding Pengisi Cat Dinding
0
0
0
10
5
10
0
0
0

Kusen
0
12
0

Daun Pintu Daun Jendela

0
0
10
12
0
0

Struktur Bawah Penutup Lantai Pondasi

0
0
0
10
4
10
0
0
0

Sloof
0
4
2

Listrik
0
1
0

Air Hujan Rabatan

5
8
0

Rata-rata
Kondisi Kerusakan
Prasarana
0.28
7.44
0.11

Status
Kepemilikan
Bukan Milik
Bukan Milik
Bukan Milik

C. Data Sarana
No
1
2

Jenis Sarana
Meja Siswa
Kursi Siswa
Total

Jumlah

Letak

Kete

20
40
60

Madin
Madin

L
L

Keterangan
Laik
Laik

D. Data Rombongan Belajar (Rombel)

No
1
2
3

Nama Rombel
KELAS A
KELAS B
KELAS C

L
KB
KB
KB

Total

1
14
0
15

Jumlah Siswa
P
Jumlah
5
10
8
23

6
24
8
38

Wali Kelas
ADE LIAWATI
IIS KURNIASIH
YULIANTI