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YAYASAN PANUNJUNG TARUNG

SMK BHAKTI MULYA SAMPIT


(Bidang Keahlian : Teknologi Informasi dan Komunikasi, Kesehatan)
Program Keahlian : 1. Teknik Komputer dan Informatika, 2. Keperawatan
Alamat : Jalan Jenderal Sudirman Km. 2,7 Sampit – Kalimantan Tengah
E-mail : smk_bhaktimulya_sampit@yahoo.co.id., Website : http://smkbmsampit.sch.id

SURAT IZIN KELUAR MASUK KELAS

Nama Siswa : .....................................................................................................................................................

Nama Siswa : .....................................................................................................................................................

Nama Siswa : .....................................................................................................................................................

Kelas : X MM/KEP, XI MM/KEP, XII MM/KEP

Alasan : .....................................................................................................................................................

KELUAR MASUK
TANGGAL WAKTU TANGGAL WAKTU

Sampit, ..........., ..................................,20


GURU MENGAJAR GURU PIKET

................................................ ......................................................................

YAYASAN PANUNJUNG TARUNG


SMK BHAKTI MULYA SAMPIT
(Bidang Keahlian : Teknologi Informasi dan Komunikasi, Kesehatan)
Program Keahlian : 1. Teknik Komputer dan Informatika, 2. Keperawatan
Alamat : Jalan Jenderal Sudirman Km. 2,7 Sampit – Kalimantan Tengah
E-mail : smk_bhaktimulya_sampit@yahoo.co.id., Website : http://smkbmsampit.sch.id

SURAT IZIN KELUAR MASUK KELAS

Nama Siswa : .....................................................................................................................................................

Nama Siswa : .....................................................................................................................................................

Nama Siswa : .....................................................................................................................................................

Kelas : X MM/KEP, XI MM/KEP, XII MM/KEP

Alasan : .....................................................................................................................................................

KELUAR MASUK
TANGGAL WAKTU TANGGAL WAKTU

Sampit, ..........., ..................................,20

GURU MENGAJAR GURU PIKET

................................................ ......................................................................

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