PEMERINTAH PROVINSI SULAWESI SELATAN

DINAS PENDIDIKAN
UPT SMA NEGERI 10 LUWU TIMUR
Alamat : Desa Kertoraharjo, Kec. Tomoni Timur, Kab. Luwu Timur
SURAT KETERANGAN
Nomor :600 /420.422/SMAN.10.LT/SS/XI/2021

Yang bertandatangan dibawah ini:

Nama : IWANUDDIN, S.Pd

NIP : 19731225 200502 1 003
Jabatan : Kepala UPT SMAN 10 Luwu Timur

dengan ini menerangkan bahwa nama-nama tersebut di bawah ini,adalah benar peserta didik
SMAN 10 LUWU TIMUR dan yang bersangkutan sebagai penerima dana PIP tahun 2021 :
No Nama Peserta Didik Tertera di SK Kelas NomorRekening
1 2 3 4
1 PUTU TRISNAWATI XII.IPS.4 13/J5.1.3/BP/SK.1/2021

2 ALFONSUS PRASKALIS XII.IPS.1 13/J5.1.3/BP/SK.1/2021

3 EFRAIM XII.IPS.3 13/J5.1.3/BP/SK.1/2021

4 ALBERT XII.MIPA.2 13/J5.1.3/BP/SK.1/2021

5 AVANDY RASSI SA'BY XII.MIPA.1 13/J5.1.3/BP/SK.1/2021

6 DESTIANI BANNE XII.IPS.3 13/J5.1.3/BP/SK.1/2021

7 KADEK RAMA WIJAYA XII.IPS.4 13/J5.1.3/BP/SK.1/2021

8 Juniar XII.IPS.2 13/J5.1.3/BP/SK.1/2021

9 ADI PRASASTIAWAN XII.MIPA.3 13/J5.1.3/BP/SK.1/2021

10 SINTA BANNE XII.IPS.1 13/J5.1.3/BP/SK.1/2021

11 Maemunah XII.MIPA.1 13/J5.1.3/BP/SK.1/2021

12 SRI WULANDARI XII.IPS.2 13/J5.1.3/BP/SK.1/2021

13 YUSNIATI PALIMBUNGA'' XII.IPS.2 13/J5.1.3/BP/SK.1/2021

14 KURNIAWATI XII.IPS.2 13/J5.1.3/BP/SK.1/2021

15 I MADE PUTRA ADI WINATA XII.IPS.1 13/J5.1.3/BP/SK.1/2021

16 Samsiani XII.IPS.4 13/J5.1.3/BP/SK.1/2021

17 HERIANGGA GIDEON SULU' PADANG XII.IPS.4 13/J5.1.3/BP/SK.1/2021

18 Syaipul Anan XII.IPS.1 13/J5.1.3/BP/SK.1/2021

19 JUMRAH XII.IPS.3 13/J5.1.3/BP/SK.1/2021

20 JODI PAGULING XII.IPS.4 13/J5.1.3/BP/SK.1/2021

21 Rismawati XII.IPS.2 13/J5.1.3/BP/SK.1/2021

22 ALEXANDER RINTO TALLUBALI XII.MIPA.2 13/J5.1.3/BP/SK.1/2021

23 PUTU NURAINI XII.IPS.2 13/J5.1.3/BP/SK.1/2021

24 REINY PALA'BIRAN XII.IPS.3 13/J5.1.3/BP/SK.1/2021

25 VIVI RACHMAWATI XII.MIPA.2 13/J5.1.3/BP/SK.1/2021

26 Aisyah Nurmala XII.MIPA.1 13/J5.1.3/BP/SK.1/2021

27 RENYTA ASRIANI XII.MIPA.2 13/J5.1.3/BP/SK.1/2021

28 ALDIANUS TARAPPA' XII.IPS.1 13/J5.1.3/BP/SK.1/2021

29 PADLI XII.MIPA.3 13/J5.1.3/BP/SK.1/2021

30 NI PUTU GURIANI XII.IPS.3 13/J5.1.3/BP/SK.1/2021

31 I WAYAN HENDRA XII.IPS.3 13/J5.1.3/BP/SK.1/2021

32 RYAN PRAYOGI XII.IPS.4 13/J5.1.3/BP/SK.1/2021

33 DWI SAWITRI XII.MIPA.3 13/J5.1.3/BP/SK.1/2021

34 Indra Ramadon XII.IPS.4 13/J5.1.3/BP/SK.1/2021

35 FATIMAH XII.MIPA.3 13/J5.1.3/BP/SK.1/2021

36 NI PUTU SRI ASTAMI XII.IPS.3 13/J5.1.3/BP/SK.1/2021

37 DELVI LAYUK RONGREAN XII.MIPA.3 13/J5.1.3/BP/SK.1/2021

38 YESAR XII.MIPA.2 13/J5.1.3/BP/SK.1/2021

39 Cokorda Gede Ari Dananjaya XII.MIPA.2 13/J5.1.3/BP/SK.1/2021

40 RIYAN HANDAYANI XII.MIPA.1 13/J5.1.3/BP/SK.1/2021

41 VIROWANDA OKTAVIANI XII.IPS.2 13/J5.1.3/BP/SK.1/2021

42 NURALIM XII.IPS.2 13/J5.1.3/BP/SK.1/2021

43 Iksal Bahari XII.MIPA.2 13/J5.1.3/BP/SK.1/2021

44 ADRIANUS MANAN BA'BA XII.IPS.4 13/J5.1.3/BP/SK.1/2021

45 I PUTU GEDE WIBU DALEM XII.MIPA.3 13/J5.1.3/BP/SK.1/2021

46 WAHYU NUGROHO XII.IPS.4 13/J5.1.3/BP/SK.1/2021

47 WELLIAM EXBRIANTO XII.IPS.4 13/J5.1.3/BP/SK.1/2021

48 SRI WANNI JUMIATI TA'DUNG XII.MIPA.2 13/J5.1.3/BP/SK.1/2021

49 Dhesma Widianti XII.MIPA.2 13/J5.1.3/BP/SK.1/2021

50 LUH ERMAWATI XII.IPS.2 13/J5.1.3/BP/SK.1/2021

51 MILGA SAFITRI XII.MIPA.3 13/J5.1.3/BP/SK.1/2021

52 UPI SULFIANA XII.IPS.1 13/J5.1.3/BP/SK.1/2021

53 REINDA BELOLAMBA' XII.IPS.2 13/J5.1.3/BP/SK.1/2021

54 KOMANG SURIYANTI XII.IPS.3 13/J5.1.3/BP/SK.1/2021

55 KOMANG AYU SARIWULAN XII.IPS.1 13/J5.1.3/BP/SK.1/2021

56 I KETUT ALIT DARMAWAN XII.MIPA.1 13/J5.1.3/BP/SK.1/2021

57 MADE PUJAWATI XII.IPS.1 13/J5.1.3/BP/SK.1/2021

58 YESKI RESSA XII.MIPA.2 13/J5.1.3/BP/SK.1/2021

59 Nurhalima XII.IPS.3 13/J5.1.3/BP/SK.1/2021

60 ADI SETIAWAN XII.IPS.1 13/J5.1.3/BP/SK.1/2021

61 MUTIA INDRIATI XII.IPS.1 13/J5.1.3/BP/SK.1/2021

62 LINDA RAHMAWATI XII.IPS.1 13/J5.1.3/BP/SK.1/2021

63 RIYANTI XII.IPS.1 13/J5.1.3/BP/SK.1/2021

64 JILWAN BUTUNGAN XII.IPS.3 13/J5.1.3/BP/SK.1/2021

65 SARMILA XI.MIPA.2 16/J5.1.3/BP/SK.4/2021

66 Dewi Asih XI.IPS.2 16/J5.1.3/BP/SK.4/2021

67 Komang Wangi Maharani XI.MIPA.2 16/J5.1.3/BP/SK.4/2021

68 Dandi Saputra XI.IPS.2 16/J5.1.3/BP/SK.4/2021

69 Ni Ketut Juliati XI.IPS.2 16/J5.1.3/BP/SK.4/2021

70 NUR AYZAH XI.IPS.1 16/J5.1.3/BP/SK.4/2021

71 ADRIYANSYAH SAPUTRA XI.IPS.4 16/J5.1.3/BP/SK.4/2021

72 FEBRIANI TANDITUA XI.IPS.4 78/J5.1.3/BP/SK.11/2021

73 ROVITA XII.IPS.3 13/J5.1.3/BP/SK.1/2021

74 YULFINA OKTAFIANI XII.IPS.1 13/J5.1.3/BP/SK.1/2021

75 LEO SUGIANTO XI.IPS.2 16/J5.1.3/BP/SK.4/2021

76 TIA TIRA XI.IPS.4 16/J5.1.3/BP/SK.4/2021

77 Triadi Pertiwi XI.IPS.1 16/J5.1.3/BP/SK.4/2021

78 Nia Melyani XI.IPS.1 16/J5.1.3/BP/SK.4/2021

79 Marlyn Paladan X.IPS.2 16/J5.1.3/BP/SK.4/2021

80 AHMAD NURHUDA XI.IPS.3 16/J5.1.3/BP/SK.4/2021

81 DANIEL PASERU XI.IPS.4 16/J5.1.3/BP/SK.4/2021

82 NI KOMANG WINI SUDARNINGSIH XII.IPS.4 13/J5.1.3/BP/SK.1/2021

83 DIAH AYU LESTARI XII.MIPA.2 13/J5.1.3/BP/SK.1/2021

84 UMI RAHMAWATI XI.MIPA.1 16/J5.1.3/BP/SK.4/2021

85 Dipa XI.IPS.1 16/J5.1.3/BP/SK.4/2021

86 Made Puspitawati XI.MIPA.1 16/J5.1.3/BP/SK.4/2021

87 NOFRIANTO XI.IPS.4 16/J5.1.3/BP/SK.4/2021

88 ENDANG WAHYUNI XI.MIPA.1 16/J5.1.3/BP/SK.4/2021

89 Kholilur Rahman XI.IPS.3 16/J5.1.3/BP/SK.4/2021

90 RISKY XI.IPS.3 16/J5.1.3/BP/SK.4/2021

91 NANA NUGROHO XII.IPS.1 13/J5.1.3/BP/SK.1/2021

92 APSELA MATASIK XII.MIPA.3 13/J5.1.3/BP/SK.1/2021

93 Gunawan Rongrean XI.MIPA.2 16/J5.1.3/BP/SK.4/2021

94 Mercy Patricia Sulle XI.IPS.1 16/J5.1.3/BP/SK.4/2021

95 MERCI XI.IPS.2 16/J5.1.3/BP/SK.4/2021

96 Sa'iri XI.IPS.4 16/J5.1.3/BP/SK.4/2021

97 SRI ANDINA XI.IPS.2 16/J5.1.3/BP/SK.4/2021

98 Kurnianti XI.MIPA.2 16/J5.1.3/BP/SK.4/2021

99 Enjel Tandi Liling XI.MIPA.1 16/J5.1.3/BP/SK.4/2021

100 AYU PUSPITA SARI XII.IPS.3 13/J5.1.3/BP/SK.1/2021

101 NI MADE PRATIWI XII.IPS.2 13/J5.1.3/BP/SK.1/2021

102 KOMANG IRAWATI XII.IPS.3 13/J5.1.3/BP/SK.1/2021

103 KOMANG WIDI NARSONO XII.IPS.1 13/J5.1.3/BP/SK.1/2021

104 ANGELASTAFIA XII.MIPA.1 13/J5.1.3/BP/SK.1/2021

105 YULIANTO SONDA XII.MIPA.3 13/J5.1.3/BP/SK.1/2021

106 DESER KRISDIAWAN PARANGGAI XII.MIPA.1 13/J5.1.3/BP/SK.1/2021

107 SUHARNI XII.MIPA.2 13/J5.1.3/BP/SK.1/2021

108 NI MADE WINDI ANJAS SARI XII.IPS.1 13/J5.1.3/BP/SK.1/2021

109 PUTRI JUNIATI XII.IPS.1 13/J5.1.3/BP/SK.1/2021

110 Tria Putri Wulandari XII.MIPA.1 13/J5.1.3/BP/SK.1/2021

111 Kadek Arya Juniati XI.IPS.3 16/J5.1.3/BP/SK.4/2021

112 Weni Apriani XI.IPS.4 16/J5.1.3/BP/SK.4/2021

113 Michael Abra Salu XI.IPS.3 16/J5.1.3/BP/SK.4/2021

114 EVA ELIANA XI.MIPA.1 16/J5.1.3/BP/SK.4/2021

115 SULIS SETIYAWATI XI.IPS.4 16/J5.1.3/BP/SK.4/2021

116 Jenika Tayan XI.IPS.2 16/J5.1.3/BP/SK.4/2021

117 YUSWINDY PALINO XI.IPS.3 16/J5.1.3/BP/SK.4/2021

118 Nur Anjani XII.IPS.4 276/J5.1.3/BP/SK.54/2021

119 Elisabet XII.MIPA.1 276/J5.1.3/BP/SK.54/2021

120 YANIARI MATASIK XII.MIPA.1 276/J5.1.3/BP/SK.54/2021

121 Mastura XII.IPS.3 276/J5.1.3/BP/SK.54/2021

122 ADRI RESKIANI XII.IPS.4 13/J5.1.3/BP/SK.1/2021

123 WILLY FRIENLY XI.IPS.4 16/J5.1.3/BP/SK.4/2021

124 SELVANI CHRISTA BELA BUTTANG XI.MIPA.2 16/J5.1.3/BP/SK.4/2021

125 Wahyu Irawan XI.IPS.3 16/J5.1.3/BP/SK.4/2021

126 NENENG SUKAMAWATI X.IPS.4 16/J5.1.3/BP/SK.4/2021

127 Ketut Juniati XI.MIPA.1 16/J5.1.3/BP/SK.4/2021

128 SERPLIN RARA' TANDILOLOK XI.IPS.2 16/J5.1.3/BP/SK.4/2021

129 DIAN YULIANTI XI.MIPA.1 16/J5.1.3/BP/SK.4/2021

130 MADE KESUMA DEWI XI.MIPA.1 16/J5.1.3/BP/SK.4/2021

131 HAINUN XII.MIPA.1 13/J5.1.3/BP/SK.1/2021

132 Ega Salsabila XI.IPS.4 16/J5.1.3/BP/SK.4/2021

133 PATMA SAMSIANI XI.MIPA.1 16/J5.1.3/BP/SK.4/2021

134 ANDI WINATA XI.IPS.3 16/J5.1.3/BP/SK.4/2021

135 GANTI TAPPARAN XI.IPS.2 16/J5.1.3/BP/SK.4/2021

136 Made Diah Ratna Dewi XI.IPS.4 16/J5.1.3/BP/SK.4/2021

137 Irfan XI.IPS.4 16/J5.1.3/BP/SK.4/2021

138 SARTIKA XI.IPS.2 16/J5.1.3/BP/SK.4/2021

139 Kadek Cahaya Krisna XI.IPS.2 16/J5.1.3/BP/SK.4/2021

140 Ni Putu Febriani XII.IPS.1 276/J5.1.3/BP/SK.54/2021

141 SION PASAU XII.IPS.3 276/J5.1.3/BP/SK.54/2021

142 ZET LINDA ALLO LA'BI XII.MIPA.2 276/J5.1.3/BP/SK.54/2021

143 IMEL SEPTIANI XII.MIPA.2 276/J5.1.3/BP/SK.54/2021

144 PEBRIAN MANDAGI XII.MIPA.1 276/J5.1.3/BP/SK.54/2021

145 Kadek Riski Saputra XII.IPS.1 142/J5.1.3/BP/SK.22/2021

146 MISRIANI BARA'SULU XII.IPS.3 276/J5.1.3/BP/SK.54/2021

147 Anak Agung Bagus Wiradarma XII.IPS.4 276/J5.1.3/BP/SK.54/2021

148 Arif Armansyah XII.IPS.3 276/J5.1.3/BP/SK.54/2021

149 YUNITA MONGAN XII.IPS.4 276/J5.1.3/BP/SK.54/2021

150 MIKAEL SOMBA XII.IPS.1 13/J5.1.3/BP/SK.1/2021

151 APRI AYU RAPPO XII.IPS.2 13/J5.1.3/BP/SK.1/2021

152 Trycel Nari Tappi XI.MIPA.2 16/J5.1.3/BP/SK.4/2021

153 Dewa Ayu Purnami XI.IPS.1 16/J5.1.3/BP/SK.4/2021

154 MARIA IRAH WATI ABU XI.IPS.2 16/J5.1.3/BP/SK.4/2021

155 I Made Saputra XI.MIPA.2 16/J5.1.3/BP/SK.4/2021

156 FATMAWATI XI.IPS.1 16/J5.1.3/BP/SK.4/2021

157 Wasti Tandi Liling XI.IPS.3 16/J5.1.3/BP/SK.4/2021

158 Gebi Anggraeni Damah Alik XI.IPS.2 16/J5.1.3/BP/SK.4/2021

159 SUCI MAHARANI XII.IPS.3 276/J5.1.3/BP/SK.54/2021

160 IKA WIDI ASTUTY XII.IPS.1 276/J5.1.3/BP/SK.54/2021

161 Kadek Ariani XII.IPS.1 276/J5.1.3/BP/SK.54/2021

162 Ni Nyoman Tanti XII.MIPA.1 276/J5.1.3/BP/SK.54/2021

163 Bayu aditya saputra XII.MIPA.1 276/J5.1.3/BP/SK.54/2021

164 INDRI DUWI ANTIKA XII.MIPA.2 142/J5.1.3/BP/SK.22/2021

165 Saparuddin XII.IPS.4 276/J5.1.3/BP/SK.54/2021

166 Steve Imanuel Kombong XII.IPS.2 276/J5.1.3/BP/SK.54/2021

167 EMARANI FENSIA XII.IPS.3 276/J5.1.3/BP/SK.54/2021

168 Pinehas Tandi Payung XII.MIPA.2 276/J5.1.3/BP/SK.54/2021

169 Ayu Desi Sentiya Wati XI.IPS.4 78/J5.1.3/BP/SK.11/2021

170 Sebastian Pongtangke XII.IPS.4 276/J5.1.3/BP/SK.54/2021

171 Noviyanty Salempang XII.IPS.1 276/J5.1.3/BP/SK.54/2021

172 JENDRI PANGARUNGAN XII.IPS.4 276/J5.1.3/BP/SK.54/2021

173 Febri Inus Pianto XII.IPS.2 276/J5.1.3/BP/SK.54/2021

174 Nias Try Yosel Parutung XII.IPS.2 276/J5.1.3/BP/SK.54/2021

175 Ayu saraswati XII.MIPA.1 276/J5.1.3/BP/SK.54/2021

176 Elenzia Sabari XII.MIPA.2 276/J5.1.3/BP/SK.54/2021

177 Irsan Semuel Rumengan XII.IPS.4 276/J5.1.3/BP/SK.54/2021

178 NOVIANTI XII.MIPA.2 276/J5.1.3/BP/SK.54/2021

179 Putu Arsih Suputri XII.MIPA.1 276/J5.1.3/BP/SK.54/2021

180 Asih Tri Muliati XII.IPS.1 276/J5.1.3/BP/SK.54/2021

181 Rianto XII.IPS.2 276/J5.1.3/BP/SK.54/2021

Demikian surat keterangan ini dibuat untuk digunakan sebagai salah satu persyaratan untuk mencairkan
dana PIP di bank penyalur.

Tomoni Timur, 22 November 2021

Kepala UPT SMAN 10 Luwu Timur,

IWANUDDIN, S.Pd
NIP.19731225 200502 1 003

Keterangan pengisian:
1) : Diisi dengan nomor surat sekolah/SKB/PKBM/LKP atau satuan pendidikan non formal lainnya
2) : Diisi dengan nama Kepala Sekolah/ketua Lembaga SKB/PKBM/LKP atau satuan pendidikan nonformal
lainnya)
3) : Diisi dengan nama sekolah/SKB/PKBM/LKP atau satuan pendidikan nonformal lainnya
4) : Diisi dengan Nomor Induk Pegawai (NIP) Kepala Sekolah/Ketua Lembaga SKB/PKBM/LKP atau satuan
pendidikan nonformal lainnya, bila ada.