YAYASAN PONDOK PESANTREN AL-AMANAH AL-ISLAMI

BERITA ACARA PENYELENGGARAAN PAS 1

SMKS AL-AMANAH OMBEN
TAHUN PELAJARAN 2019 / 2020

Pada hari ini ................. tanggal ........................... bulan ......................... tahun ..............................
telah diselenggarakan PAS 1 di SMKS Al-Amanah Omben pada Mata Pelajaran ..............................
dari pukul .............................. sampai pukul ..............................
Ruang : ..............................
Kelas : ..............................
Jumlah Peserta : .............................. siswa
Yang Hadir : .............................. Siswa, yakni nomor :
.............................., .............................., .............................., .............................., .............................., ..
............................, .............................., .............................., .............................., .............................., ....
.........................., .............................., .............................., .............................., .............................., ......
........................, .............................., .............................., .............................., .............................., ........
......................, .............................., .............................., .............................., .............................., ..........
...................., .............................., .............................., .............................., .............................., ............
.................., .............................., .............................., .............................., .............................., ..............
................, .............................., .............................., .............................., ..............................,

Yang tidak hadir : .............................. siswa yakni nomor :

.............................., .............................., .............................., .............................., .............................., ..

............................, .............................., .............................., .............................., .............................., ....
.........................., .............................., .............................., .............................., ..............................,
Catatan selama pelaksanaan ujian :
...........................................................................................................................................................
...........................................................................................................................................................
...........................................................................................................................................................

Berita acara ini dibuat dengan sesungguhnya.

Omben, ................................................2019

Yang Membuat Daftar Hadir

Pengawas I pengawas II

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