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Surat Mutasi Keluar

Surat Mutasi Keluar

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Dipublikasikan oleh Budi Hartanto
mutasi keluat
mutasi keluat

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Categories:Types, School Work
Published by: Budi Hartanto on Jul 05, 2012
Hak Cipta:Attribution Non-commercial

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09/03/2012

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PEMERINTAH PROVINSI DAERAH KHUSUS IBUKOTA JAKARTA

SDN SEMANAN 01 PAGI
Jl. Semanan Raya Rt.006/07 No.!
Kal"#e$e% Ja&a$ta Ba$at
Ema"l/'a(e)oo& * %#n%emanan0+,a-".ya/oo.(om 0e) * /tt,*//10+023!+.%"a,4%e&ola/.(om/ Tel, * 2371!0
Nomo$ * ... / +.!2+.31 .......
S"5at *
6am,"$an *
Hal * 7t/. Ke,ala B"#an- Pen#"#"&an Se&ola/ Da%a$
D"na% Pen#"#"&an P$o8"n%" DKI Ja&a$ta
D"
Tem,at
Den-an /o$mat9 men"n#a&lan:;t" ,e$mo/onan ,"n#a/ #a$" o$an- t;a/0al" ,e%e$ta #"#"& *
1. Nama Pe%e$ta D"#"& *
2. Tem,at #an Tan--al 6a/"$ *
3. Be$a%al #a$" SD * Kela% * Seme%te$ *
4. Nomo$ In#;& Pe%e$ta D"#"& *
5. Nomo$ In#;& S"%0a Na%"onal <NISN= *
6. Nama O$an-t;a / >al" *
7. Alamat O$an-t;a / >al" *
8. Pe&e$:aan O$an-t;a / >al" *
9. Te$lam,"$ *
a. Pe$mo/onan P"n#a/ #a$" O$an-t;a / >al"
). Ra,o$ 6en-&a,
(. 'o$mat !22
#. NISN
e. 'oto(o,y P"a-am A&$e#"ta%" Se&ola/
5. 'oto(o,y S;$at I?"n O,e$a%"onal Se&ola/ @=
-. S;$at Kete$an-an yan- mene$an-&an ,e%e$ta #"#"& yan- )e$%an-&;tan t"#a& %e#an- men:alan" %an&%"
&a$ena mela&;&an ,elan--a$an te$/a#a, tatate$t") %e&ola/.
Be$%ama "n" %aya %am,a"&an )e$&a% #ata4#ata yan- %;#a/ %aya tel"t" &ea)%a/annya #an %elan:;tnya %aya
men;n--; ,e$%et;:;an ,e$,"n#a/an #a$" B"#an- Se&ola/ Da%a$ D"na% Pen#"#"&an P$o8"n%" DKI Ja&a$ta.
Tela/ #",e$"&%a #ata 7)% Ke,ala Se&ola/ Da%a$
Ke,ala Se&%" D"na% Pen#"#"&an Da%a$ Ke(. Kal"#e$e% SDN Semanan 0+ Pa-"
Kota A#m"n"%t$a%" Ja&a$ta A Ba$at Ke(amatan Kal"#e$e% Ja&a$ta A Ba$at
Drs. BAMBANG SUDJARWO ...............................................................
NIP. +B2!0212 +B! +0 +001 NIP. .......................................................
Nomo$ * ................................................. Nomo$ * ...........................................
Tan--al* ................................................. Tan--al * ...........................................
Menyet;:;" Menyet;:;"
Ke,ala S;&; D"na% Pen#"#"&an Da%a$ Ke,ala B"#an- ......................................
Kota A#m"n"%t$a%" Ja&a$ta A Ba$at ...............................................................
PEMERINTAH PROVINSI DAERAH KHUSUS IBUKOTA JAKARTA
SDN SEMANAN 01 PAGI
Jl. Semanan Raya Rt.006/07 No.!
Kal"#e$e% Ja&a$ta Ba$at
Ema"l/'a(e)oo& * %#n%emanan0+,a-".ya/oo.(om 0e) * /tt,*//10+023!+.%"a,4%e&ola/.(om/ Tel, * 2371!0
Dra. Hj. DELLY INDIRAYATI, M.Si ..............................................................
NIP. +B2!01+2 +B!2 ++ 100+ NIP........................................................

.......... M..............Si NIP... DELLY INDIRAYATI.....................com/ Telp : 54373280 Dra...............com web : http://20105481. NIP........006/07 No..... ................ Semanan Raya Rt.. 19580215 1985 11 2001 . Hj.siap-sekolah................PEMERINTAH PROVINSI DAERAH KHUSUS IBUKOTA JAKARTA SDN SEMANAN 01 PAGI Jl........38 Kalideres Jakarta Barat Email/Facebook : sdnsemanan01pagi@yahoo.........

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