BUKU INDUK SISWA MADRASAH TSANAWIYAH

BUKU KE

...............................
NOMOR INDUK

........................... s/d ...........................

MADRASAH TSANAWIYAH 01 DARUSSALAM KEPAHIANG

PONDOK PESANTREN MODERN DARUSSALAM
KEPAHIANG – BENGKULU

Jl. Merdeka Kelurahan Dusun Kepahiang Kabupaten Kepahiang

Provinsi Bengkulu 39172 Phone (0732) 392387

NIS : NISN :
I. SISWA :
1. Nama : …………………………………………………….....................................................…
2. Jenis Kelamin : …………………………………………………….....................................................…
3. Tempat & Tgl Lahir : …………………………………………………….....................................................…
4. Anak Ke : …………………………………………………….....................................................…
Foto Masuk 5. Jumlah Saudara : Kandung : …………………………………………............……............... orang
Madrasah Tiri : …………………………………………….......................….... orang
3x4 6. Alamat : …………………………………………………….....................................................…

II. ORANG TUA/WALI :

7. Nama Orang Tua : Ayah : ………………………………………………..............................................
Cap Tiga Jari Kiri Ibu : ………………………………………………..............................................
8. Pendidikan Orang Tua : Ayah : ………………………………………………..............................................
Foto Ibu : ………………………………………………..............................................
9. Pekerjaan Orang TUa : Ayah : ………………………………………………..............................................
Ibu : ………………………………………………..............................................
Foto
10. Agama : Ayah : ………………………………………………..............................................
Ibu : ………………………………………………..............................................
11. Alamat Orang Tua : …………………………………………………….........................................…
Nomor Telepon : …………………………………………………….........................................…
12. Nama Wali : …………………………………………………….........................................…
13. Pekerjaan Wali : …………………………………………………….........................................…
14. Agama Wali : …………………………………………………….........................................…
15. Alamat Wali : …………………………………………………….........................................…
Nomor Telepon : …………………………………………………….........................................…

III. MASUK MADRASAH INI :

16. Dari Sekolah : …………………………………………………….....................................................…
17. Tanggal : ......................................... diterima di kelas : ……….......…. (………....……)
18. Surat Pindah : …………………………………………………….....................................................…
19. NIS Asal : …………………………………………………….....................................................…
20. Daftar Nilai Ujian Akhir Madrasah Tsanawiyah/Sekolah Menengah Pertama :

NILAI
NO MATA PELAJARAN
MTs SMP
1 Pendidikan Agama Islam
a. Al-Qur’an Hadits
b. Aqidah Akhlaq
c. Fiqih
d. Sejarah Kebudayaan Islam
2 Pendidikan Kewarganegaraan
3 Bahasa Indonesia
4 Bahasa Arab
5 Bahasa Inggris
6 Matematika
7 Ilmu Pengetahuan Alam (IPA)
8 Ilmu Pengetahuan Sosial (IPS)
9 Seni Budaya dan Keterampilan
10 Pendidikan Jasmani, Olahraga dan Kesehatan
Foto Lulus 11 Teknologi Informasi dan Komunikasi
Madrasah 12 Muatan Lokal
3x4
a. ......................................................
b. ......................................................
c. ......................................................

Cap Tiga Jari Kiri RATA-RATA

IV. MENINGGALKAN MADRASAH INI :
21. Tanggal : ……………………………......................….... Kelas : ………..................………(………......…….)
22. Alasan : ………………………………….........................................................................................................
Foto .....................................................……………………………….......................................................
V. PENILAIAN HASIL BELAJAR MADRASAH
TAHUN PELAJARAN
2000 / 2000 2000 / 2000 2000 / 2000 NILAI UJIAN
N KELAS X KELAS XI KELAS XII AKHIR
MATA PELAJARAN
O NILAI PRESTASI NILAI PRESTASI NILAI PRESTASI
Smt-1 Smt-2 Smt-1 Smt-2 Smt-1 Smt-2
KKM KKM KKM Tulis Praktik
K A K A K A K A K A K A
Kelompok A (Umum)
1 Pendidikan Agama Islam
a. Al-Qur’an Hadits
b. Aqidah Akhlaq
c. Fiqih
d. Sejarah Kebudayaan Islam
2 Pendidikan Kewarganegaraan
3 Bahasa Indonesia
4 Bahasa Arab
5 Matematika
6 Sejarah Indonesia
7 Bahasa Inggris
Kelompok B (Umum)
1 Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahraga
2
dan Kesehatan
3 Prakarya da Wirausahaan
4 Muatan Lokal
a. Kaligrafi
b. ......................................................
Kelompok C (Peminatan)
1 Matematika
2 Biologi
3 Fisika
4 Kimia
5 Lintas Minat : Geografi
6 Lintas Minat : Sosiologi
7 Lintas Minat :..................................
Jumlah

Rata - Rata
Kegiatan 1. ........................................
Ekstra- 2. ........................................
kurikuler 3. ........................................
1. Kelakuan
2. Kedisiplinan
Perilaku
3. Kebersihan
4. Ketaatan
1. Sakit
Ketidak-
2. Izin
hadiran
3. Alpha
Naik kelas Naik kelas Naik kelas LULUS/
Keputusan Hasil Belajar
Tinggal Kelas Tinggal Kelas Tinggal Kelas TIDAK LULUS
VI. IJAZAH MADRASAH
23. Nomor : .................................................................................................... Tanggal: ....................................................................
24. Diberikan tanggal : ............................................................................................................................................................................................
25. Piagam penghargaan yang pernah diterima:
a. Bidang : ..................................................... Nomor : .................................................. Tanggal : ............................................
b. Bidang : ..................................................... Nomor : .................................................. Tanggal : ............................................
26. Surat keterangan yang pernah diberikan oleh Madrasah ini :
a. Tentang : ..................................................... Nomor : ................................................... Tanggal : ...........................................
b. Tentang : ..................................................... Nomor : ................................................... Tanggal : ...........................................
27. Kegiatan ekstrakurikuler yang pernah diikuti :
a. .............................................................................. di ......................................................................... Tanggal : ...........................................
b. .............................................................................. di ......................................................................... Tanggal : ...........................................
VII. Catatan :
............................................................................................................................................................................................................................................
............................................................................................................................................................................................................................................
VIII. PENILAIAN HASIL BELAJAR PONDOK

‫الد‬ ‫السنة الدراسية‬ ‫ا‬

‫ رجا‬٢٠٠٠/ ٢٠٠٠/ ٢٠٠٠/ ‫ل‬
‫ت‬ ٢٠٠٠ ٢٠٠٠ ٢٠٠٠ ‫ن‬
‫الفصل للش‬ ‫الفصل‬ ‫الفصل‬ ‫المواد‬
‫الرابع الخامس السادس‬ ‫م‬
‫الدرجات الدرجات الدرجات هاد‬ ‫ر‬
‫ ة‬Smt-2 Smt-1 KKM Smt-2 Smt-1 KKM Smt-2 Smt-1 KKM ‫ة‬
‫القران‬
Holy Qur'an Oral Exam ‫الكريم‬ ١
‫الشفهي‬
‫القران‬
Holy Qur'an Written Exam ‫الكريم‬ ٢
‫التحريري‬
Qur'anic Recitation ‫التجويد‬ ٣
Qur'anic Studies ‫علوم القران‬ ٤
‫التفسيروايا‬
Qur'anic Interpretation and Verses Law ٥
‫ت األحكام‬
Hadith ‫الحديث‬ ٦
‫علم مصطلح‬
Hadith Terminology ٧
‫الحديث‬
Islamic Jurisprudence ‫الفقه‬ ٨
principles of the Islamic
Jurisprudence
‫اصول الفقه‬ ٩
Heritance Law ‫الفرائض‬ ١٠
Islamic Theology ‫التوحيد‬ ١١
‫مقارنة‬
Comparative Religion ١٢
‫األديان‬
‫التاريخ‬
Islamic History and It's Culture ‫االسالمى و‬ ١٣
‫حضارته‬
‫الدراسة‬
Islamic Study ١٤
‫اإلسالمية‬
‫اإلمالء‬
Arabic Dictation ١٥
‫العربي‬
‫اإلنشاء‬
Arabic Oral-Composition ‫العربي‬ ١٦
‫الشفهي‬
‫اإلنشاء‬
Arabic Written Composition ‫العربي‬ ١٧
‫التحريري‬
‫المطالعة‬
Arabic Reading Oral Exam ‫العربية‬ ١٨
‫الشفهية‬
‫المطالعة‬
Arabic Reading Written Exam ‫العربية‬ ١٩
‫التحريرية‬
‫المحادثة‬
Arabic Conversation ٢٠
‫العربية‬
Memorized Material ‫المحفوظات‬ ٢١
Arabic Grammar ‫النحو‬ ٢٢
Arabic Morphology ‫الصرف‬ ٢٣
‫تمرين اللغة‬
Arabic Exercise ٢٤
‫العربية‬
Rhetoric Science ‫البالغة‬ ٢٥
Logic Sclence ‫المنطق‬ ٢٦
‫التربية‬
Pedagogic Science and Psychology ‫العلمية و‬ ٢٧
‫علم النفس‬
‫التربية‬
Micro Teaching ٢٨
‫العملية‬
‫التربية‬
Constitution ٢٩
‫الوطنية‬
Sociology ‫علم اإلجتماع‬ ٣٠
‫علم األحياء‬
Biology and Health ٣١
‫و الصحة‬
‫علم االقتصام‬
Economics and Accounting ٣٢
‫و تدوين‬
 ‫الحسابات‬
‫علموم‬
Physical Science ٣٣
‫الطبيعية‬
‫علم‬
Chemistry ٣٤
‫الكيمياء‬
‫علم‬
Geography ٣٥
‫الجغرافيا‬
‫علم‬
Mathematic ٣٦
‫الرياضيات‬
Arithmetic ‫علم الحساب‬ ٣٧
‫المطالعة‬
English Reading Oral-Exam ‫االجليزية‬ ٣٨
‫الشفهية‬
‫المطالعة‬
English Reading Written Exam ‫االجليزية‬ ٣٩
‫التحريرية‬
‫قواعداللغة‬
English Grammar ٤٠
‫االجليزية‬
‫المحادثة‬
English Conversation ٤١
‫االجليزية‬
‫اإلنشاء‬
English Oral Composition ‫االجليزي‬ ٤٢
‫الشفهي‬
‫اإلنشاء‬
English Written Composition ‫االجليزي‬ ٤٣
‫التحريري‬
‫اإلمالء‬
English Dictation ٤٤
‫االجليزي‬
‫اللغة‬
Indonesia Language ٤٥
‫اإلندونيسية‬
Glance Of Pondok Modern ‫شؤون المعهد‬ ٤٦
Computer ‫الكمبيوتر‬ ٤٧
Open Dictionary ‫فتح المعجم‬ ٤٨
Calligraphy ‫الخط‬ ٤٩
Translation ‫الترجمة‬ ٥٠
‫البحث‬
Scientific Research ٥١
‫العلمي‬
‫التاريخ‬
History Of The World ٥٢
‫العام‬
/ ‫مجموع النتيجة‬
: ‫التقدير‬
IX. IJAZAH PONDOK
28. Nomor : .................................................................................................... Tanggal: ....................................................................
29. Diberikan tanggal : ............................................................................................................................................................................................