Catatan : …………………………………………………………………………....................................
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Bojonegoro, ………………
1. DATA PESERTA :
Keadaan MADRASAH TSANAWIYAH
No
Peserta VII VIII IX JUMLAH KET
1 Terdaftar
2 Tdk
Hadir
3 Hadir
Catatan : …………………………………………………………………………....................................
………………………………………………………………………….....................................
…………………………………………………………………………......................................
Bojonegoro, ………………
____________________ Drs.KOMARUDIN,MM
NIP. __________________ NIP. 196711261994031004
NIP.