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BERITA ACARA (Form 1.

3) Diisi oleh Penguji

PELAKSANAAN UJIAN KINERJA UKMPPG

Pada hari ini ...............tanggal ....................bulan ...................tahun…….. bertempat di


Sekolah…………………………………… Alamat ………………………………………..
1. Telah diselenggarakan Uji Kinerja UKMPPG (Reguler/ Prajab Bersubsidi/ SM3T/
Daljab/ PGDK)*
WAKTU KELAS NOMOR NAMA MAHASISWA JUMLAH
UJIAN PESERTA SISWA
MAHASISWA HADIR

2. Catatan selama pelaksanaan Uji KinerjaUKMPPG:


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Demikian berita acara ini kami buat dengan sebenarnya.
......................., ....................2018
Mengetahui,
Penanggung Jawab Sekolah Dosen Penguji Guru Penguji

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NIP NIP NIP

*: pilih salah satu yang sesuai

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