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Kertosono, …………….......................
Kepala SMK Kusuma Negara Kertosono
Pas Foto
3x4
Alamat : ..................................................................................................................................
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NamaPembimbing : 1. ..........................................................................................................................
2. .........................................................................................................................
Pimpinan
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Bekerja sama dengan
SERTIFIKAT
Nomor : ...................................................../ 20......
Kepada :
Nama : ....................................................................................................................................
Tempat, Tanggal Lahir : ....................................................................................................................................
Nomor Induk Siswa : ....................................................................................................................................
Kompetensi Keahlian : ....................................................................................................................................
Telah melaksanakan progran Praktek Kerja Industri (PRAKERIN) dalam rangka program Pendidikan Sistem Ganda
Mulai tanggal ............................................................................... s/d ......................................................................................
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