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Jumlah
Keterangan : Skor : 4 = Sangat baik, 3 = Baik, 2 = Cukup, 1 = Kurang
Nilai Akhir
Perolehan skor x 100
Nilai akhir = Skor Maksimal
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Curug, ......................... 2019
Pengawas Sekolah Kepala Sekolah
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