SEKOLAH MENENGAH KEJURUAN

Terakreditasi A (BAN-SM)
Alamat : Jalan Raya Cimuncang No. 25 Telp. (0266) 228065 Sukaraja Sukabumi
Website: smk-hassina-sukabumi.sch.id E-mail: Smk.hassina@yahoo.com

BERITA ACARA
UJIAN PRAKTIK RESEP
TAHUN PELAJARAN 2016/2017

Pada hari ini .......................... tanggal .............................. Bulan .............................. Tahun Dua
Ribu Tujuh Belas bertempat di SMK .......................................................
Kota/Kabupaten* ...................................... telah dilaksanakan Ujian Praktik Resep :
1. Shift Ke- : ......................................................................
2. Waktu Ujian : ......180....... menit (................ s/d ...............)
3. Banyaknya calon peserta ujian : ............................................................ orang
4. Banyaknya peserta yang tidak mengikuti ujian : ............................................................ orang
5. Nomor ujian : ......................................................................
............................................................................................................................................................
............................................................................................................................................................
...........................................................................................................................................................
Kejadian-kejadian penting yang terjadi selama ujian :
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................

Demikian berita acara ini dibuat untuk dipergunakan sebagaimana mestinya.

Nama dan TandaTangan

Penguji Internal Penguji Eksternal

1. ...................................................... ................. 1. ..................................................... .................

2. ....................................................... ................. 2. ..................................................... .................

3. ....................................................... ................. 3. ..................................................... .................

4. ....................................................... ................. 4. ..................................................... .................

5. ....................................................... ................. 5. ..................................................... .................

 SEKOLAH MENENGAH KEJURUAN

Terakreditasi A (BAN-SM)
Alamat : Jalan Raya Cimuncang No. 25 Telp. (0266) 228065 Sukaraja Sukabumi
Website: smk-hassina-sukabumi.sch.id E-mail: Smk.hassina@yahoo.com

6. ....................................................... ................. 6. ..................................................... .................

Catatan : dibuat rangkap 2 ; a. 1 eksp diserahkan ke panitia

b. 1 eksp arsip sekolah