YAYASAN AMKUR CABANG FLORES

TK ST TERESIA DANGA

LAPORAN PENCAPAIAN
PERKEMBANGAN ANAK ( LPPA )

TAPEL 2016 / 2017

NAMA ANAK : ..............................................................

NAMOR INDUK : .....................................................
KELOMPOK : ..........................................................

DEPERTEMEN PENDIDIKAN NASIONAL

REPUBLIK INDONESIA
 Danga,........,.............. 2017
Mengetahui
Kepala TK St Teresia Danga Guru Kelas

LAPORAN PENCAPAIAN
Veronika Dhone, S.Pd ................................... PERKEMBANGAN ANAK (
LAPORAN PENCAPAIAN
PERKEMBANGAN ANAK ( LPPA )
TAPEL 2016
TAPEL 2016 / 2017
/ 2017
Keterangan :
Sakit : ................... Komentar Orang Tua / Wali
Ijin : ................... : .............................................
Alpa : ................... .............................................
.............................................
.............................................

Danga, .......,...............2017
Orang Tua / Wali
KELOMPOK
TAMAN KANAK-KANAK B ST. TERESIA
: TK

....................................
 5. SOSIAL EMOSIONAL

LAPORAN PENCAPAIAN .................................................................................................................

.................................................................................................................
.................................................................................................................
PERKEMBANGAN ANAK ( L .................................................................................................................
LAPORAN PENCAPAIAN .................................................................................................................
.................................................................................................................
PERKEMBANGAN ANAK ( LPPA ) .................................................................................................................
TAPEL 2016 / 2017 .................................................................................................................
TAMAN KANAK – KANAK .................................................................................................................
ST TERESIA DANGA .................................................................................................................
.................................................................................................................
.................................................................................................................
.................................................................................................................
.................................................................................................................
........................................................
6. SENI

.................................................................................................................
.................................................................................................................
.................................................................................................................
.................................................................................................................
.................................................................................................................
NAMA ANAK : ............................................. .................................................................................................................
.................................................................................................................
NAMOR INDUK : ............................................. .................................................................................................................
.................................................................................................................
KELOMPOK : ............................................ .................................................................................................................
.................................................................................................................
.................................................................................................................
DEPERTEMEN PENDIDIKAN NASIONAL .................................................................................................................
REPUBLIK INDONESIA .................................................................................................................
.................................................................................................................
.................................................................................................................
.................................................................................................................
3. KOGNITIF KETERANGAN DIRI ANAK

............................................................................................................... A. IDENTITAS
............................................................................................................... 1. Nama Anak
............................................................................................................... Nama Lengkap : ................................................
............................................................................................................... Nama Panggilan : ................................................
............................................................................................................... 2. Naomor Induk : ................................................
............................................................................................................... 3. Jenis Kelamin : ................................................
............................................................................................................... 4. Tempat dan Tanggal Lahir : ................................................
............................................................................................................... 5. Agama : ................................................
............................................................................................................... 6. Anak Ke : ................................................
............................................................................................................... 7. Nama Orang Tua / Wali : ................................................
............................................................................................................... 8. Pekerjaan Orang Tua / Wali
............................................................................................................... Ayah : ................................................
............................................................................................................... Ibu : ................................................
............................................................................................................... 9. Alamat Orang Tua
............................................................................................................... Jalan : ................................................
............................................................................................................... Kelurahan / Desa : ................................................
4. BAHASA Kecamatan : Aesesa
Kabupaten : Nagekeo
............................................................................................................... Provinsi : Nusa Tenggara Timur
............................................................................................................... B. IDENTITAS TAMAN KANAK-KANAK
............................................................................................................... 1. Nama : TK St. Teresia Danga
............................................................................................................... 2. Status Taman Kanak-Kanak : Swasta
............................................................................................................... 3. Alamat
............................................................................................................... Jalan : Pramuka
............................................................................................................... Kelurahan / Desa : Danga
............................................................................................................... Kecamatan : Aesesa
............................................................................................................... Kabupaten : Nagekeo
............................................................................................................... Provinsi : Nusa Tenggara Timur
............................................................................................................... 4. Nama yayasan / Organisasi : AMKUR Cabang Flores
............................................................................................................... 5. Penyelenggara : Sr. KFS
...............................................................................................................
............................................................................................................... Danga,.........,.............. 2016
............................................................................................................... Kepala TK St Teresia Danga
...............................................................................................................

Veronika Dhone, S.Pd


AMAL DAN TK ST.TERESIA DANGA
Jl. Pramuka Danga – Mbay – Aesesa – Nagekeo - NTT (86472)
LAPORAN PENCAPAIAN PERKEMBANGAN ANAK (LPPA)
TAPEL 2016 / 2017
Nama Anak : ................................... Usia : .......................
No Induk : ................................... Semester : .......................
A. PERTUMBUHAN
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
B. PERKEMBANGAN
1 NILAI AGAMA DAN MORAL
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................
2 FISIK MOTORIK
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
3. KOGNITIF ...............................................................................................................
...............................................................................................................
..............................................................................................................
...............................................................................................................
..............................................................................................................
...............................................................................................................
..............................................................................................................
...............................................................................................................
..............................................................................................................
...............................................................................................................
..............................................................................................................
.............................................................................................................. 6. SENI
.............................................................................................................. ...............................................................................................................
.............................................................................................................. ...............................................................................................................
.............................................................................................................. ...............................................................................................................
.............................................................................................................. ...............................................................................................................
.............................................................................................................. ...............................................................................................................
.............................................................................................................. ...............................................................................................................
...............................................................................................................
4. BAHASA
...............................................................................................................
............................................................................................................... ...............................................................................................................
............................................................................................................... ...............................................................................................................
...............................................................................................................
...............................................................................................................
Danga,............,................2016
............................................................................................................... Mengetahui
............................................................................................................... Kepala TK St. Teresia Danga Guru Kelas
...............................................................................................................
...............................................................................................................
............................................................................................................... Veronika Dhone, S.Pd ..........................................
...............................................................................................................
............................................................................................................... Keterangan Komentar Orang Tua/Wali
............................................................................................................... Sakit : ...................... : ...........................................
Ijin : ...................... ...........................................
5. SOSIAL EMOSIONAL Alpa : ...................... ...........................................
...........................................
...............................................................................................................
............................................................................................................... Danga,.........,.........2016
............................................................................................................... Orang Tua / Wali
...............................................................................................................
.......................................