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Isilah dengan tanda √ pada kolom yang tersedia sesuai dengan kondisi aspek yang di
supervisi. Jika akan menambahkan aspek yang disupervisi, isilah dalam kolom tersedia, dan
jika perlu penjelasan lain, isilah kololm keterangan!
Simpulan/Rekomendasi:
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Mengetahui ....................................
Kepala Sekolah Guru Mata Pelajaran Pengawas Sekolah