JURNAL KEGIATAN

PRAKTIK KERJA INDUSTRI

(PRAKERIN)

PADA : ……………………………..................................................…
Periode : ...... DESEMBER 2018 s/d ...... APRIL 2019

Disusun Oleh :

Nama : __________________________
NIS : __________________________
Kelas : XI. PH
Kompetensi Keahlian : PERHOTELAN

PEMERINTAH PROVINSI KALIMANTAN BARAT

DINAS PENDIDIKAN DAN KEBUDAYAAN
SMK NEGERI 1 SUKADANA
TAHUN PELAJARAN 2018/2019
 LEMBAR PENGESAHAN SEKOLAH

Jurnal kegiatan Praktik Kerja Industri ( PRAKERIN ) di .................................

.................................................................. ini disusun oleh :

Nama : ...........................................................
NIS : ...........................................................
Program Keahlian : Perhotelan dan Jasa Pariwisata
Kompetensi Keahlian : Perhotelan

Telah diteliti dan disahkan oleh Guru Pembimbing Prakerin di SMK Negeri 1
Sukadana pada :

Hari : ...........................................................
Tanggal : ...........................................................

Kepala Program APH, Guru Pembimbing Sekolah,

S. CAHYA NUGRAHA, SE ........................................................

NUPTK. 0051 7526 5420 0033 NUPTK.

Mengetahui :
Kepala SMK Negeri 1 Sukadana,

T U L U S, S.Pd
NIP. 19761113 200502 1 002
 LEMBAR PENGESAHAN INSTANSI

Jurnal kegiatan Praktik Kerja Industri ( PRAKERIN ) di .................................

.................................................................. ini disusun oleh :

Nama : ...........................................................
NIS : ...........................................................
Program Keahlian : Perhotelan dan Jasa Pariwisata
Kompetensi Keahlian : Perhotelan

Telah diteliti dan disahkan oleh Pembimbing Prakerin di ...............................

.................................................................. pada :

Hari : ...........................................................
Tanggal : ...........................................................

General Manager, HRD Manager,

_______________________ _______________________
 IDENTITAS DIRI SISWA

PAS PHOTO
3X4

NAMA LENGKAP : ..............................................................................

NOMOR INDUK SISWA : ..............................................................................
TEMPAT/ TANGGAL LAHIR : ..............................................................................
KELAS : XI. PH
KOMPETENSI KEAHLIAN : PERHOTELAN
ALAMAT RUMAH : ..............................................................................
..............................................................................
NOMOR TELEPON/HP : ..............................................................................

GURU PEMBIMBING DI SEKOLAH

NAMA : ..............................................................................
NUPTK. : ..............................................................................
ALAMAT : ..............................................................................
..............................................................................
NOMOR TELEPON/HP : ..............................................................................

IDENTITAS INDUSTRI / INSTANSI

NAMA INDUSTRI / INSTANSI : ..............................................................................
ALAMAT LENGKAP : ..............................................................................
..............................................................................
NOMOR TELEPON : ..............................................................................
ALAMAT E-MAIL : ..............................................................................

IDENTITAS PIMPINAN INDUSTRI / INSTANSI

NAMA : ..............................................................................
NIP / NIK : ..............................................................................
JABATAN : ..............................................................................
ALAMAT : ..............................................................................
..............................................................................
NOMOR TELEPON/HP : ..............................................................................
IDENTITAS PEMBIMBING INDUSTRI / INSTANSI
NAMA : ..............................................................................
NIP / NIK : ..............................................................................
JABATAN : ..............................................................................
ALAMAT : ..............................................................................
..............................................................................
NOMOR TELEPON/HP : ..............................................................................