Anda di halaman 1dari 39

LAPORAN PERKEMBANGAN ANAK

LAPORAN PERKEMBANGAN SISWA


KELOMPOK BERMAIN AL BANNA

Nama

: .............................................

No. Induk : .............................................


Alamat

: .............................................

Jl. Raya Karangturi RT 01/ 01


Kecamatan Sumbang Kab. Banyumas ( 0281 ) 6598695

LAPORAN PERKEMBANGAN ANAK

Artinya

: Ajarkanlah anak anakmu tiga perkara yaitu, mencintai Nabimu,


Keluargamu dan membaca Al- Quran, karena sesungguhnya pembawa AlQuran berada di bawah naungan Arsy Allah dihari tiada naungan kecuali
naungan-Nya bersama para Nabi dan orang- orang yang suci.
( Diriwayatkan oleh Thabrani )

LAPORAN PERKEMBANGAN ANAK


KETERANGAN DIRI ANAK DIDIK
1. Nama Anak Didik
a. Nama Lengakap
b. Nama Panggilan
2. Nomor Induk
3. Jenis Kelamin
4. Tempat Dan Tanggal Lahir
5. Agama
6. Anak Ke
7. Nama Orang Tua/ Wali
8. Pekerjaan Orang Tua/Wali
a. Ayah
b. Ibu
9. Alamat Orang Tua
a. Jalan
b. Desa/ Kelurahan
c. Kecamatan
d. Kabupaten/ Kota
e. Provinsi

:..............................................................................
:..............................................................................
:..............................................................................
:..............................................................................
:..............................................................................
:..............................................................................
:..............................................................................
:..............................................................................
:
:..............................................................................
:..............................................................................
:
:..............................................................................
:..............................................................................
:..............................................................................
:..............................................................................
:..............................................................................
Karangturi, ..................................
Kepala Kelompok bermain

NIP. ..............................................

LAPORAN PERKEMBANGAN ANAK


Nama Anak Didik

: ..................................

Kelompok

: ..................................
URAIAN PROGRAM PENGEMBANGAN

N
O

Nilai

Bidang Pengembangan
BB

1.

PENDIDIKAN AQIDAH
a. ikrar
b. .......................................................................
c. .......................................................................
d. .......................................................................
e. .......................................................................
f. .......................................................................

2.

PENDIDIKAN IBADAH
a. Praktik Wudhu
b. Azan/ Qomat
c. Praktik Shalat
d. .......................................................................
e. .......................................................................
f. .......................................................................
AL QURAN

3.

a. Iqro jilid.................hal. .................................


Surat- Surat Pendek
a. Surat ............................................................
b. Surat ............................................................
c. Surat ............................................................
d. Surat ............................................................
e. Surat ............................................................
f. Surat ............................................................
g. Surat ............................................................
h. Surat ............................................................
i. Surat ............................................................
j. Surat ............................................................

MB

BSH

BSB

LAPORAN PERKEMBANGAN ANAK


Semester
: ....................................................
Tahun Pelajaran : ....................................................
No
4.

Bidang Pengembangan

BB

HADIST
a. ......................................................................
......................................................................
b. ......................................................................
......................................................................
c. ......................................................................
......................................................................
d. ......................................................................
......................................................................
e. ......................................................................
......................................................................
f. ......................................................................
......................................................................
g. ......................................................................
......................................................................
h. ......................................................................
......................................................................
i. ......................................................................
......................................................................
j. ......................................................................
......................................................................
k. .................................................................

MB

BSH

BSB

LAPORAN PERKEMBANGAN ANAK

N
O
5.

Bidang Perkembangan

BB

MB

DOA- DOA HARIAN


a.
b.
c.
d.
e.
f.
g.
h.
i.
j.

Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................

6.

KALIMAH THAYYIBAH

7.

a. Subhanallah
b. Allahu Akbar
c. Lailaha Illallah
d. Astagfirullah
SIROH
a.
b.
c.
d.
LAPORAN PERKEMBANGAN ANAK

Nama Anak Didik


Kelompok
Semester
Tahun Pelajaran

: ...................................................
: ...................................................
: ...................................................
: ...................................................

A. PEMBIASAAN
1. Moral dan Nalai- Nilai Agama

BSH

BSB

2. Sosial, Emosional dan Kemandirian

B. KEMAMPUAN DASAR
1. Berbahasa

2. Kognitif

3. Fisik/ Motorik
7

4. Seni

Ketidakhadiran

Sakit

....................................hari

Izin

....................................hari

Tanpa Keterangan

....................................hari

....................................................
Kepala Kelompok Bermain

Orang Tua/ Wali

Guru KB

( ...................................... )

( ...................................... )

( ...................................... )

LAPORAN PERKEMBANGAN ANAK


DAFTAR PENILAIAN PERKEMBANGAN SIKAP ANAK
Masa Pelaporan dan
Penilaian

Baik

Cukup

Kurang

SEMESTER 1

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

Keadaan Sikap/
Sifat Anak

1. Kerja sama
2. Setia kawan
3. Sopan santun
4. Keramahan
5. Daya Tangkap
6. Kepatuhan
7. Tanggung Jawab
8. Aktivitas
9. Inisiatif
10. Keberanian
11. Kerapihan/ Ketelitian
12. Kebersihan

Tg. ....................................
Tanda tangan
...........................................

10

Sering

Sekali
Sekali

Tidak
Pernah

13. Murung
14. Menangis
15. Marah
16. menentang
17. Mengganggu
18. Menyerang

LAPORAN PERKEMBANGAN ANAK


DAFTAR PENILAIAN/ DATA PERKEMBANGAN JASMANI
DAN KESEHATAN ANAK
Masa Pelaporan dan
Penilaian

1. Mata Penglihatan
2. Hidung/ Penciuman
3. Telinga/ Pendengaran
4. Mulut ( tanpa halitosis )
5. Gigi- Gigi
6. Anggota Badan
7. Kulit
8. Berat Badan
9. Tinggi Badan
10. Penyakit/ Kecelakaan
yang di derita selama
masa percobaan dan
lama sakit
11. Imunisasi
a. Dipheritis
b. Batuk rejan
c. Tetanus
d. Polio Myletisi
e. Tuberculosa/ BCG
f. Cacar
g. Chotipa /TCD

Kurang

Baik

Keadaan Sikap/
Sifat Anak

Cukup

SEMESTER 1

Tgl.
Tgl.
Tgl.
Tgl.
Tgl.
Tgl.
Tgl.
Tg. ....................................

Tanda tangan
Wali Kelas
...........................................
LAPORAN PERKEMBANGAN ANAK

No

D. PROGRAM KEGIATAN EXTRA KULIKULER


Nilai
Jenis Kegiatan
BB
MB

11

BSH

BSD

1.

2.

3.

Ketidakhadiran

Tanda tangan
Nama dan Tanggal

Sakit
Izin
Tanpa Keterangan

.....................................hari
.....................................hari
.....................................hari

Guru Kelas

( .........................................)

Orang Tua/ Wali

( .........................................)
Karangturi, .................................
Kepala Kelompok Bermain

(..............................................)

12

LAPORAN PERKEMBANGAN ANAK


Nama Anak Didik

: ..................................

Kelompok

: ..................................
URAIAN PROGRAM PENGEMBANGAN

N
O

Nilai

Bidang Pengembangan
BB

1.

PENDIDIKAN AQIDAH
a. ikrar
b. .......................................................................
c. .......................................................................
d. .......................................................................
e. .......................................................................
f. .......................................................................

2.

PENDIDIKAN IBADAH
a. Praktik Wudhu
b. Azan/ Qomat
c. Praktik Shalat
d. .......................................................................
e. .......................................................................
f. .......................................................................
AL QURAN

3.

a.Iqro jilid.................hal. .................................


Surat- Surat Pendek
a. Surat ............................................................
b. Surat ............................................................
c. Surat ............................................................
d. Surat ............................................................
e. Surat ............................................................
f. Surat ............................................................
g. Surat ............................................................
h. Surat ............................................................
i. Surat ............................................................
j. Surat ............................................................

13

MB

BSH

BSB

LAPORAN PERKEMBANGAN ANAK


Semester
: ....................................................
Tahun Pelajaran : ....................................................
No
4.

Bidang Pengembangan

BB

HADIST
a. ......................................................................
......................................................................
b. ......................................................................
......................................................................
c. ......................................................................
......................................................................
d. ......................................................................
......................................................................
e. ......................................................................
......................................................................
f. ......................................................................
......................................................................
g. ......................................................................
......................................................................
h. ......................................................................
......................................................................
i. ......................................................................
......................................................................
j. ......................................................................
......................................................................
k. .................................................................

14

MB

BSH

BSB

LAPORAN PERKEMBANGAN ANAK

N
O
5.

Bidang Perkembangan

BB

MB

DOA- DOA HARIAN


a.
b.
c.
d.
e.
f.
g.
h.
i.
j.

Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................

6.

KALIMAH THAYYIBAH

7.

a. Subhanallah
b. Allahu Akbar
c. Lailaha Illallah
d. Astagfirullah
SIROH
a.
b.
c.
d.
LAPORAN PERKEMBANGAN ANAK

Nama Anak Didik


Kelompok
Semester
Tahun Pelajaran

: ...................................................
: ...................................................
: ...................................................
: ...................................................

A. PEMBIASAAN
1. Moral dan Nalai- Nilai Agama

15

BSH

BSB

2. Sosial, Emosional dan Kemandirian

B. KEMAMPUAN DASAR
3. Berbahasa

4. Kognitif

5. Fisik/ Motorik
16

6. Seni

Ketidakhadiran

Sakit

....................................hari

Izin

....................................hari

Tanpa Keterangan

....................................hari

....................................................
Kepala Kelompok Bermain

Orang Tua/ Wali

Guru KB

( ...................................... )

( ...................................... )

17

( ...................................... )

LAPORAN PERKEMBANGAN ANAK


DAFTAR PENILAIAN PERKEMBANGAN SIKAP ANAK
Masa Pelaporan dan
Penilaian

Baik

Cukup

Kurang

SEMESTER 1

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

Keadaan Sikap/
Sifat Anak

1. Kerja sama
2. Setia kawan
3. Sopan santun
4. Keramahan
5. Daya Tangkap
6. Kepatuhan
7. Tanggung Jawab
8. Aktivitas
9. Inisiatif
10. Keberanian
11. Kerapihan/ Ketelitian
12. Kebersihan

18

Tg. ....................................
Tanda tangan
...........................................

19

Sering

Sekali
Sekali

Tidak
Pernah

13. Murung
14. Menangis
15. Marah
16. menentang
17. Mengganggu
18. Menyerang

LAPORAN PERKEMBANGAN ANAK


DAFTAR PENILAIAN/ DATA PERKEMBANGAN JASMANI
DAN KESEHATAN ANAK
Masa Pelaporan dan
Penilaian

1. Mata Penglihatan
2. Hidung/ Penciuman
3. Telinga/ Pendengaran
4. Mulut ( tanpa halitosis )
5. Gigi- Gigi
6. Anggota Badan
7. Kulit
8. Berat Badan
9. Tinggi Badan
10. Penyakit/ Kecelakaan
yang di derita selama
masa percobaan dan
lama sakit
11. Imunisasi
a. Dipheritis
b. Batuk rejan
c. Tetanus
d. Polio Myletisi
e. Tuberculosa/ BCG
f. Cacar
g. Chotipa /TCD

Kurang

Baik

Keadaan Sikap/
Sifat Anak

Cukup

SEMESTER 1

Tgl.
Tgl.
Tgl.
Tgl.
Tgl.
Tgl.
Tgl.
Tg. ....................................

Tanda tangan
Wali Kelas
...........................................
LAPORAN PERKEMBANGAN ANAK

No

D. PROGRAM KEGIATAN EXTRA KULIKULER


Nilai
Jenis Kegiatan
BB
MB

20

BSH

BSD

1.

2.

3.

Ketidakhadiran

Tanda tangan
Nama dan Tanggal

.....................................hari
.....................................hari
.....................................hari

Sakit
Izin
Tanpa Keterangan

Guru Kelas

( .........................................)

Orang Tua/ Wali

( .........................................)
Karangturi, .................................
Kepala Kelompok Bermain

(..............................................)
LAPORAN PERKEMBANGAN ANAK
Nama Anak Didik

: ..................................

Kelompok

: ..................................
URAIAN PROGRAM PENGEMBANGAN

N
O

Nilai

Bidang Pengembangan
BB
21

MB

BSH

BSB

1.

PENDIDIKAN AQIDAH
a. ikrar
b. .......................................................................
c. .......................................................................
d. .......................................................................
e. .......................................................................
f. .......................................................................

2.

PENDIDIKAN IBADAH
a. Praktik Wudhu
b. Azan/ Qomat
c. Praktik Shalat
d. .......................................................................
e. .......................................................................
f. .......................................................................
AL QURAN

3.

a.Iqro jilid.................hal. .................................


Surat- Surat Pendek
a. Surat ............................................................
b. Surat ............................................................
c. Surat ............................................................
d. Surat ............................................................
e. Surat ............................................................
f. Surat ............................................................
g. Surat ............................................................
h. Surat ............................................................
i. Surat ............................................................
j. Surat ............................................................

22

LAPORAN PERKEMBANGAN ANAK


Semester
: ....................................................
Tahun Pelajaran : ....................................................
No
4.

Bidang Pengembangan

BB

HADIST
a. ......................................................................
......................................................................
b. ......................................................................
......................................................................
c. ......................................................................
......................................................................
d. ......................................................................
......................................................................
e. ......................................................................
......................................................................
f. ......................................................................
......................................................................
g. ......................................................................
......................................................................
h. ......................................................................
......................................................................
i. ......................................................................
......................................................................
j. ......................................................................
......................................................................
k. .................................................................

23

MB

BSH

BSB

LAPORAN PERKEMBANGAN ANAK

N
O
5.

Bidang Perkembangan

BB

MB

DOA- DOA HARIAN


a.
b.
c.
d.
e.
f.
g.
h.
i.
j.

Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................

6.

KALIMAH THAYYIBAH

7.

a. Subhanallah
b. Allahu Akbar
c. Lailaha Illallah
d. Astagfirullah
SIROH
a.
b.
c.
d.
LAPORAN PERKEMBANGAN ANAK

Nama Anak Didik


Kelompok
Semester
Tahun Pelajaran

: ...................................................
: ...................................................
: ...................................................
: ...................................................

A. PEMBIASAAN
1. Moral dan Nalai- Nilai Agama

24

BSH

BSB

2. Sosial, Emosional dan Kemandirian

B. KEMAMPUAN DASAR
3. Berbahasa

4. Kognitif

5. Fisik/ Motorik
25

6. Seni

Ketidakhadiran

Sakit

....................................hari

Izin

....................................hari

Tanpa Keterangan

....................................hari

....................................................
Kepala Kelompok Bermain

Orang Tua/ Wali

Guru KB

( ...................................... )

( ...................................... )

26

( ...................................... )

LAPORAN PERKEMBANGAN ANAK


DAFTAR PENILAIAN PERKEMBANGAN SIKAP ANAK
Masa Pelaporan dan
Penilaian

Baik

Cukup

Kurang

SEMESTER 1

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

Keadaan Sikap/
Sifat Anak

1. Kerja sama
2. Setia kawan
3. Sopan santun
4. Keramahan
5. Daya Tangkap
6. Kepatuhan
7. Tanggung Jawab
8. Aktivitas
9. Inisiatif
10. Keberanian
11. Kerapihan/ Ketelitian
12. Kebersihan

27

Tg. ....................................
Tanda tangan
...........................................

28

Sering

Sekali
Sekali

Tidak
Pernah

13. Murung
14. Menangis
15. Marah
16. menentang
17. Mengganggu
18. Menyerang

LAPORAN PERKEMBANGAN ANAK


DAFTAR PENILAIAN/ DATA PERKEMBANGAN JASMANI
DAN KESEHATAN ANAK
Masa Pelaporan dan
Penilaian

1. Mata Penglihatan
2. Hidung/ Penciuman
3. Telinga/ Pendengaran
4. Mulut ( tanpa halitosis )
5. Gigi- Gigi
6. Anggota Badan
7. Kulit
8. Berat Badan
9. Tinggi Badan
10. Penyakit/ Kecelakaan
yang di derita selama
masa percobaan dan
lama sakit
11. Imunisasi
a. Dipheritis
b. Batuk rejan
c. Tetanus
d. Polio Myletisi
e. Tuberculosa/ BCG
f. Cacar
g. Chotipa /TCD

Kurang

Baik

Keadaan Sikap/
Sifat Anak

Cukup

SEMESTER 1

Tgl.
Tgl.
Tgl.
Tgl.
Tgl.
Tgl.
Tgl.
Tg. ....................................

Tanda tangan
Wali Kelas
...........................................
LAPORAN PERKEMBANGAN ANAK

No

D. PROGRAM KEGIATAN EXTRA KULIKULER


Nilai
Jenis Kegiatan
BB
MB

29

BSH

BSD

1.

2.

3.

Ketidakhadiran

Tanda tangan
Nama dan Tanggal

Sakit
Izin
Tanpa Keterangan

.....................................hari
.....................................hari
.....................................hari

Guru Kelas

( .........................................)

Orang Tua/ Wali

( .........................................)
Karangturi, .................................
Kepala Kelompok Bermain

(..............................................)

30

LAPORAN PERKEMBANGAN ANAK


Nama Anak Didik

: ..................................

Kelompok

: ..................................
URAIAN PROGRAM PENGEMBANGAN

N
O

Nilai

Bidang Pengembangan
BB

1.

PENDIDIKAN AQIDAH
a. ikrar
b. .......................................................................
c. .......................................................................
d. .......................................................................
e. .......................................................................
f. .......................................................................

2.

PENDIDIKAN IBADAH
g. Praktik Wudhu
h. Azan/ Qomat
i. Praktik Shalat
j. .......................................................................
k. .......................................................................
l. .......................................................................
AL QURAN

3.

b. Iqro jilid.................hal. .................................


Surat- Surat Pendek
a. Surat ............................................................
b. Surat ............................................................
c. Surat ............................................................
d. Surat ............................................................
e. Surat ............................................................
f. Surat ............................................................
g. Surat ............................................................
h. Surat ............................................................
i. Surat ............................................................
j. Surat ............................................................

31

MB

BSH

BSB

LAPORAN PERKEMBANGAN ANAK


Semester
: ....................................................
Tahun Pelajaran : ....................................................
No
4.

Bidang Pengembangan

BB

HADIST
a. ......................................................................
......................................................................
b. ......................................................................
......................................................................
c. ......................................................................
......................................................................
d. ......................................................................
......................................................................
e. ......................................................................
......................................................................
f. ......................................................................
......................................................................
g. ......................................................................
......................................................................
h. ......................................................................
......................................................................
i. ......................................................................
......................................................................
j. ......................................................................
......................................................................
k. .................................................................

32

MB

BSH

BSB

LAPORAN PERKEMBANGAN ANAK

N
O
5.

Bidang Perkembangan

BB

MB

DOA- DOA HARIAN


a.
b.
c.
d.
e.
f.
g.
h.
i.
j.

Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................
Doa .............................................................

6.

KALIMAH THAYYIBAH

7.

a. Subhanallah
b. Allahu Akbar
c. Lailaha Illallah
d. Astagfirullah
SIROH
a.
b.
c.
d.
LAPORAN PERKEMBANGAN ANAK

Nama Anak Didik


Kelompok
Semester
Tahun Pelajaran

: ...................................................
: ...................................................
: ...................................................
: ...................................................

A. PEMBIASAAN
1. Moral dan Nalai- Nilai Agama

33

BSH

BSB

2. Sosial, Emosional dan Kemandirian

B. KEMAMPUAN DASAR
1. Berbahasa

2. Kognitif

3. Fisik/ Motorik
34

4. Seni

Ketidakhadiran

Sakit

....................................hari

Izin

....................................hari

Tanpa Keterangan

....................................hari

....................................................
Kepala Kelompok Bermain

Orang Tua/ Wali

Guru KB

( ...................................... )

( ...................................... )

35

( ...................................... )

LAPORAN PERKEMBANGAN ANAK


DAFTAR PENILAIAN PERKEMBANGAN SIKAP ANAK
Masa Pelaporan dan
Penilaian

Baik

Cukup

Kurang

SEMESTER 1

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

......................

.....................

.....................

......................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

.....................

Keadaan Sikap/
Sifat Anak

1. Kerja sama
2. Setia kawan
3. Sopan santun
4. Keramahan
5. Daya Tangkap
6. Kepatuhan
7. Tanggung Jawab
8. Aktivitas
9. Inisiatif
10. Keberanian
11. Kerapihan/ Ketelitian
12. Kebersihan

36

Tg. ....................................
Tanda tangan
...........................................

37

Sering

Sekali
Sekali

Tidak
Pernah

13. Murung
14. Menangis
15. Marah
16. menentang
17. Mengganggu
18. Menyerang

LAPORAN PERKEMBANGAN ANAK


DAFTAR PENILAIAN/ DATA PERKEMBANGAN JASMANI
DAN KESEHATAN ANAK
Masa Pelaporan dan
Penilaian

1. Mata Penglihatan
2. Hidung/ Penciuman
3. Telinga/ Pendengaran
4. Mulut ( tanpa halitosis )
5. Gigi- Gigi
6. Anggota Badan
7. Kulit
8. Berat Badan
9. Tinggi Badan
10. Penyakit/ Kecelakaan
yang di derita selama
masa percobaan dan
lama sakit
11. Imunisasi
a. Dipheritis
b. Batuk rejan
c. Tetanus
d. Polio Myletisi
e. Tuberculosa/ BCG
f. Cacar
g. Chotipa /TCD

Kurang

Baik

Keadaan Sikap/
Sifat Anak

Cukup

SEMESTER 1

Tgl.
Tgl.
Tgl.
Tgl.
Tgl.
Tgl.
Tgl.
Tg. ....................................

Tanda tangan
Wali Kelas
...........................................
LAPORAN PERKEMBANGAN ANAK

No

D. PROGRAM KEGIATAN EXTRA KULIKULER


Nilai
Jenis Kegiatan
BB
MB

38

BSH

BSD

1.

2.

3.

Ketidakhadiran

Tanda tangan
Nama dan Tanggal

Sakit
Izin
Tanpa Keterangan

.....................................hari
.....................................hari
.....................................hari

Guru Kelas

( .........................................)

Orang Tua/ Wali

( .........................................)
Karangturi, .................................
Kepala Kelompok Bermain

(..............................................)

39

Anda mungkin juga menyukai