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TALENTS EXECUTIVE SCHOOL

SMA MUHAMMADIYAH 10
SURABAYA
JL. GENTENG MUHAMMADIYAH 45, TELP/FAX. 031-5352707

FORM KEDATANGAN ORANG TUA/WALI SISWA

I. Nama Orang Tua/Wali :


II. Alamat :
III. Orang Tua Dari :
IV. Kelas :
V. Permasalahan :

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VI. Solusi Yang Dihasilkan :

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VII. Tindak Lanjut :

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Surabaya, .................................
Mengetahui,
Orang Tua/Wali
Guru

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