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