Nama : .....................................................................................
Tempat dan Tanggal Lahir : .....................................................................................
Nomor Induk : .....................................................................................
Nomor Induk Siswa Nasional : .....................................................................................
Kompetensi Keahlian : Teknik Furnitur
Produktif
1. Dasar Kompetensi Kejuruan
2. Kompetensi Kejuruan
Rata-rata
……..........................,............................... 2019
Kepala Sekolah,
...........................................................................
NIP ....................................................................
M-SMK/06