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FORM

No. Dokumen : FR KTB 02/LSP SMK.MUH.I.GTG


PENCEGAHAN Edisi/Revisi : 00/00
KETIDAK Tanggal
: 27/9/2019
BERPIHAKAN Berlaku
Halaman : 1 dari 1

STATUS KONFLIK

 Tempat Kejadian : .................................................................................................

 Hari / Tanggal : .................................................................................................

KONFLIK KETERANGAN
NO NAMA PESERTA UJI NAMA ASESOR
ADA TIDAK PERMASALAHAN
1
2
3
4
5

 Hasil Analisis Konflik :


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 Tindakan Perbaikan :
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Genteng,......................................
Ketua LSP Kabag. Mutu

Aan Cahyanto Sri Setiyo, M.Pd Nur Rohman

FR KTB 02/LSP SMK.MUH.I.GTG

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