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FormSuratNUPTK

FormSuratNUPTK

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Dipublikasikan oleh Pattra Ridha

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Published by: Pattra Ridha on Apr 28, 2012
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04/28/2012

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SURAT NON AKTIF DATA NUPTK

Menerangkan Bahwa :
Nama : ..........................................................................
Tempat dan Tgl. Lahr : ..........................................................................
NIP ! NI"B : ..........................................................................
N#m#r NUPTK : ..........................................................................
A$al Sek#lah : ..........................................................................
Alamat Sek#lah : ..........................................................................
%a&atan Awal : ..........................................................................
Keterangan N#n Akt' :. a. Pen$(n )
&. Meng(nd(rkan Dr )
*. +a'at )
d. Lann,a..............................................
-re&#n. ............................................................
Pe/a&at ,ang &erwenang d $ek#lah )
0Nama lengkap. ttd dan Stempel Lem&aga1
Mengetah(.
Kepala UPTD Penddkan
Ke*. ............................................ )
0Nama lengkap dan Tandatangan1
Men,et(/(
M(ta$ Data NUPTK.
Operat#r NUPTK Dna$ Penddkan
K#ta -re&#n )
2ant Tre$na,ant. S.S#$
NIP. 34566789 34436: 8 669
SURAT MUTASI K;PALA S;KOLA<
2ang &ertanda tangan d &awah n :
Nama : ..........................................................................
Tempat dan Tgl. Lahr : ..........................................................................
NIP ! NI"B : ..........................................................................
N#m#r NUPTK : ..........................................................................
A$al Sek#lah : ..........................................................................
Alamat Sek#lah : ..........................................................................
%a&atan Awal : ..........................................................................
Telah pndah tempat &eker/a ke :
Nama Sek#lah : ..........................................................................
Alamat Sek#lah : ..........................................................................
T(ga$ Menga/ar : ..........................................................................
%(mlah %am Menga/ar : ..........................................................................
%a&atan Sekarang : ..........................................................................
N#. dan Tanggal SK : ..........................................................................
TMT : ..........................................................................
-re&#n. ............................................................
2ang &er$angk(tan )
0Nama lengkap dan Tandatangan1
Mengetah(.
Kepala UPTD Penddkan
Ke*. ............................................ )
0Nama lengkap dan Tandatangan1
Men,et(/(
M(ta$ Data NUPTK.
Operat#r NUPTK Dna$ Penddkan
K#ta -re&#n )
2ant Tre$na,ant. S.S#$
NIP. 34566789 34436: 8 669
SURAT MUTASI "URU
2ang &ertanda tangan d &awah n :
Nama : ..........................................................................
Tempat dan Tgl. Lahr : ..........................................................................
NIP ! NI"B : ..........................................................................
N#m#r NUPTK : ..........................................................................
A$al Sek#lah : ..........................................................................
Alamat Sek#lah : ..........................................................................
%a&atan Awal : ..........................................................................
Telah pndah tempat &eker/a ke :
Nama Sek#lah : ..........................................................................
Alamat Sek#lah : ..........................................................................
T(ga$ Menga/ar : ..........................................................................
%(mlah %am Menga/ar : ..........................................................................
%a&atan Sekarang : ..........................................................................
N#. dan Tanggal SK : ..........................................................................
TMT : ..........................................................................
-re&#n. ............................................................
2ang &er$angk(tan )
0Nama lengkap dan Tandatangan1
Mengetah(.
Kepala Sek#lah A$al
0Nama lengkap. ttd dan Stempel Lem&aga1
Mengetah(.
Kepala Sek#lah ,ang menerma.
0Nama lengkap. ttd dan Stempel Lem&aga1
Men,et(/(
M(ta$ Data NUPTK.
Operat#r NUPTK Dna$ Penddkan
K#ta -re&#n )
2ant Tre$na,ant. S.S#$
NIP. 34566789 34436: 8 669

................................... : ............... .................................................................................. : ....... Cirebon...................... ............................................................................... : ......................... ....................................................................................................................................................................... : ........................ Kepala UPTD Pendidikan Kec............................ : ........... Yang bersangkutan ..... Operator NUPTK Dinas Pendidikan Kota Cirebon ........................................................................................ : ............................................................................. 19700625 199103 2 005 ........................................... Yanti Tresnayanti........... : ............................... : ..........................................................SURAT MUTASI KEPALA SEKOLAH Yang bertanda tangan di bawah ini Nama Tempat dan Tgl....... : ............................................. : .. Mengetahui....................................... dan Tanggal SK TMT : : ....... (Nama lengkap dan Tandatangan) (Nama lengkap dan Tandatangan) Menyetujui Mutasi Data NUPTK............................ : ................................................................................ Lahir NIP / NIGB Nomor NUPTK Asal Sekolah Alamat Sekolah Jabatan Awal Telah pindah tempat bekerja ke Nama Sekolah Alamat Sekolah Tugas Mengajar Jumlah Jam Mengajar Jabatan Sekarang No................................................................................................ S...Sos NIP...... : .. : : ..............................

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