Nama : .....................................................................................
Tempat dan Tanggal Lahir : .....................................................................................
Nomor Induk : .....................................................................................
Nomor Induk Siswa Nasional : .....................................................................................
Kompetensi Keahlian : Bisnis Daring dan Pemasaran
……..........................,............................... 2019
Kepala Sekolah,
...........................................................................
NIP ....................................................................
M-SMK/13-rev