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Instrumen pemantauan BOS reguler dan BOS buku

Instrumen pemantauan BOS reguler dan BOS buku

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Dipublikasikan oleh Agus Rubiyanto
PEMANTAUAN DANA BOS REGULER DAN BOS BUKU SEMESTER I (Bulan Januari s.d. Juni)

NAMA SEKOLAH/MADRASAH ALAMAT SEKOLAH/MADRASAH MAMA RESPONDEN JABATAN RESPONDEN HARI, TANGGAL MONITORING

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PEMANTAUAN DANA BOS REGULER DAN BOS BUKU SEMESTER I (Bulan Januari s.d. Juni)

NAMA SEKOLAH/MADRASAH ALAMAT SEKOLAH/MADRASAH MAMA RESPONDEN JABATAN RESPONDEN HARI, TANGGAL MONITORING

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Published by: Agus Rubiyanto on Mar 12, 2011
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KEMENTERIAN AGAMA

KELOMPOK KERJA PENGAWAS PAI (POKJAWAS PAI)
KANTOR KABUPATEN CILACAP
Alamat : Jalan DI. Panjaitan No.44 Telp. (0282)531155 Cilacap
PEMANTAUAN DANA BOS REGULER DAN BOS BUKU
SEMESTER I (Bulan Januari s.d. Juni)
NAMA SEKOLAH/MADRASAH : ..................................................................................................
ALAMAT SEKOLAH/MADRASAH : ..................................................................................................
MAMA RESPONDEN : ..................................................................................................
JABATAN RESPONDEN : ..................................................................................................
HARI, TANGGAL MONITORING : ..................................................................................................
A. BOS REGULER
1. Jumlah Siswa Pee!ima : L " ................... P" ................... Jml
" .......................
2. Jumlah Daa BOS #a$ %i&e!ima : R' ........................................................
3. Jumlah Daa BOS #a$ %i(elua!(a : R' ........................................................
4. Sal%) Daa BOS 'e! Jui ................ : R' ........................................................
*. A%miis&!asi Keua$a Daa BOS
a. Bu(u Kas +mum : A%a / Ti%a( Bai( / ,u(u' / Ku!a$
-. Bu(u Kas Tuai : A%a / Ti%a( Bai( / ,u(u' / Ku!a$
.. Bu(u BA( : A%a / Ti%a( Bai( / ,u(u' / Ku!a$
%. Bu(u Pa/a( : A%a / Ti%a( Bai( / ,u(u' / Ku!a$
e. Bu(u Pem-elia Ba!a$ : A%a / Ti%a( Bai( / ,u(u' / Ku!a$
0. SPJ Daa BOS : Su%ah Di(e!/a(a / Dalam P!)ses / Belum
1. Pa/a( : A%a / Ti%a( Su%ah %i-a#a! / Belum
2. Pe$$uaa Daa BOS : Te'a& Sasa!a / Ku!a$ Te'a& / Ti%a( Te'a&
3. Temua/sa!a4sa!a :
B. BOS BUKU
1. Jumlah Siswa Pee!ima : L " ..................P" .................... Jml " .......................
2. Jumlah Daa BOS #a$ %i&e!ima : R' .................................................
3. Jumlah Daa BOS #a$ %i(elua!(a : R' .................................................
4. Sal%) Daa BOS 'e! Jui ........ : R' .................................................
5. Jumlah Bu(u #a$ %i-eli : .................................................
6. Ju%ul Bu(u #a$ %i-eli : .................................................
7. Temua/sa!a4sa!a : .................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
,ila.a', ............................................
RESPONDEN
555555555555555555555555555555
NIP: .............................................
Pe$awas RA/Ma%!asah I-&i%ai#ah
....................................................
NIP: ........................................................
KEMENTERIAN AGAMA
KELOMPOK KERJA PENGAWAS PAI (POKJAWAS PAI)
KANTOR KABUPATEN CILACAP
Alamat : Jalan DI. Panjaitan No.44 Telp. (0282)531155 Cilacap
PEMANTAUAN DANA BOS REGULER DAN BOS BUKU
SEMESTER II (Juli Januari s.d. Ds!"r)
NAMA SEKOLAH/MADRASAH : ..................................................................................................
ALAMAT SEKOLAH/MADRASAH : ..................................................................................................
MAMA RESPONDEN : ..................................................................................................
JABATAN RESPONDEN : ..................................................................................................
HARI, TANGGAL MONITORING : ..................................................................................................
A. BOS REGULER
1. Jumlah Siswa Pee!ima : L " ................ P"...................... Jml
"..............................
2. Jumlah Daa BOS #a$ %i&e!ima : R' .........................................................
3. Jumlah Daa BOS #a$ %i(elua!(a : R' .........................................................
4. Sal%) Daa BOS 'e! Desem-e! ........ : R' .........................................................
*. A%miis&!asi Keua$a Daa BOS
a. Bu(u Kas +mum : A%a / Ti%a( Bai( / ,u(u' / Ku!a$
-. Bu(u Kas Tuai : A%a / Ti%a( Bai( / ,u(u' / Ku!a$
.. Bu(u BA( : A%a / Ti%a( Bai( / ,u(u' / Ku!a$
%. Bu(u Pa/a( : A%a / Ti%a( Bai( / ,u(u' / Ku!a$
e. Bu(u Pem-elia Ba!a$ : A%a / Ti%a( Bai( / ,u(u' / Ku!a$
0. SPJ Daa BOS : Su%ah Di(e!/a(a / Dalam P!)ses / Belum
1. Pa/a( : A%a / Ti%a( Su%ah %i-a#a! / Belum
2. Pe$$uaa Daa BOS : Te'a& Sasa!a / Ku!a$ Te'a& / Ti%a( Te'a&
3. Temua/sa!a4sa!a :
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
B. BOS BUKU
1. Jumlah Siswa Pee!ima : L " ............... P".................... Jml "...........................
2. Jumlah Daa BOS #a$ %i&e!ima : R' .........................................................
3. Jumlah Daa BOS #a$ %i(elua!(a : R' .........................................................
4. Sal%) Daa BOS 'e! Desem-e!........ : R' .........................................................
5. Jumlah Bu(u #a$ %i-eli : .........................................................
6. Ju%ul Bu(u #a$ %i-eli : .........................................................
7. Temua/sa!a4sa!a : .........................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
,ila.a', ............................................
RESPONDEN
555555555555555555555555555555
NIP: .............................................
Pe$awas RA/Ma%!asah I-&i%ai#ah
.....................................................
NIP: ........................................................

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