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LEMBAR ABSENSI SISWA PRIVAT
Nama siswa : .............................. No. Telp / HP : ...............................
Tanda Tangan
Hari &
No. Mata Pelajaran Materi
Tanggal Guru Wali Siswa
10
11
12
13
14
15
Sidoarjo,.........................................
(Guru Pengajar)