LAPORAN PIKET SMP NEGERI 1 BANJARAN

TAHUN PELAJARAN 20.... / 20......

Hari, Tanggal : ................................................................................................................

Petugas Piket : 1. ..........................................................................................................
2. ..........................................................................................................
3. ..........................................................................................................
4. ..........................................................................................................
Pelaksanaan : Piket......................................... s.d ..........................................................
A. Siswa yang terlambat
NO NAMA KELAS ALASAN NO NAMA KELAS ALASAN
1 6
2 7
3 8
4 9
5 10

B. Siswa yang tidak hadir

NO NAMA KELAS S I A NO NAMA KELAS S I A

1 16
2 17
3 18
4 19
5 20
6 21
7 22
8 23
9 24
10 25
11 26
12 27
13 28
14 29
15 30
C. JUMLAH SISWA YANG TIDAK HADIR:
Kelas VII : S ............................. I................................... A ......................................
Kelas VIII : S ............................. I................................... A ......................................
Kelas IX : S ............................. I................................... A ......................................
JUMLAH : S .............................I...................................A .....................................
D. ABSENSI GURU/DAN KARYAWAN
NO NAMA KETERANGAN
1.
2.
3.
4.
5.

E. KELAS YANG TIDAK ADA GURUNYA

NO KELAS JAM KE MATA PELAJARAN NAMA GURU

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

F. KEJADIAN / CATATAN PENTING

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Banjaran,..........................................20....
Kepala Sekolah, Notulen

ADANG SUDRAJAT, S.Pd. (...................................................)

Pembina Tk. 1 NIP/NUTPK.
NIP. 19631031 198403 1 005