BERITA ACARA PEMBINAAN

A. Hari/Tanggal Kunjungan : ..........................., ...................................................

B. Yang Mengunjungi/Supervisor
1. Nama : .............................................................................................
NIP : .............................................................................................
Jabatan : .............................................................................................

2. Nama : .............................................................................................
NIP : .............................................................................................
Jabatan : .............................................................................................

3. Nama : .............................................................................................
NIP : .............................................................................................
Jabatan : .............................................................................................

C. Maksud Kunjungan :
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D. Diterima Oleh : .............................................................................................

E. Catatan Hasil kunjungan :

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F. Tindak Lanjut :
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Bogor, ......................................... 20....
Kepala SMK SATRIA BANGSA Tanda Tangan,
Kec.Tamansari Kab. Bogor,

1. ...............................

Heni Maryana, SF. 2. ...............................

BERITA ACARA PEMBINAAN atau Buku Tamu Dinas ini hanya boleh
diisi saat ada kunjungan tamu dari Yayasan atau dari Instansi Pemerintah
seperti dari Disdik, unsur Pemda dan Lembaga Pemerintah lainnya dengan
tujuan kedatangan dalam rangka Dinas (bukan silaturahmi pribadi).

Satu kali kunjungan 1 halaman.