PENILAIAN/TES ....................................................
SMA ........................TP............................
Mata Pelajaran : .........................
Kelas/Semester : ..........................
Penulis Soal : ..........................
Keterangan:
Beri tanda √ sesuai respon telaah anda pada setiap nomor soal
Jakarta, ........................................................
Penelaah
(....................................................................)
NIP. .............................................................