FOMULIR LAYANAN MANAJEMEN DAPODIK

DINAS PENDIDIKAN DAN KEBUDAYAAN PROVINSI BANTEN

TAHUN 2021

Hari/Tanggal : .........................................................................................
Nama Pemohon : .........................................................................................
Asal Sekolah : .........................................................................................

Jenis Layanan : Registrasi Dapodik/Pergantian Operator/Reset Akun

Dan Password Dapodik Sekolah

Persyaratan :

□ Surat Pengantar dari KCD;

□ Surat Permohonan Registrasi Dapodik/Pergantian Operator/Reset Akun dan Password;

□ SK Pengangkatan Operator Sekolah (jika dperlukan)

Catatan proses :
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Pemohon, Petugas Layanan, Mengetahui

Admin KK-Dadatik,

( ....................................... ) ( ........................................ ) ( ...................................... )

 FOMULIR LAYANAN MANAJEMEN DAPODIK
DINAS PENDIDIKAN DAN KEBUDAYAAN PROVINSI BANTEN
TAHUN 2021

Hari/Tanggal : .........................................................................................
Nama Pemohon : .........................................................................................
Asal Sekolah : .........................................................................................

Jenis Layanan : Pengajuan/Cetak NPSN

Persyaratan :

□ Surat Pengantar dari KCD;

□ Surat Permohonan dari Sekolah;

□ SK Ijin Operasional/SKK (pdf);

□ Surat Rekomendasi Layak dari bidang SMK/SMK/SKH khusus sekolah swasta (pdf);;

□ Profil Sekolah;

□ SK Pendirian Yayasan;

□ Foto Sekolah Tampak Muka (pdf)

□ Foto Papan Nama Sekolah (pdf).

Catatan proses :
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Pemohon, Petugas Layanan, Mengetahui

Admin KK-Dadatik,

( ....................................... ) ( ........................................ ) ( ...................................... )

 FOMULIR LAYANAN MANAJEMEN DAPODIK
DINAS PENDIDIKAN DAN KEBUDAYAAN PROVINSI BANTEN
TAHUN 2021

Hari/Tanggal : .........................................................................................
Nama Pemohon : .........................................................................................
Asal Sekolah : .........................................................................................

Jenis Layanan : Tambah PTK Baru

Persyaratan :

□ Surat Pengantar dari KCD;

□ Form PTK;

□ Fotocopy Ijasah Terakhir;

□ SK Pengangkatan PTK;

□ SK Penugasan PTK;

□ Kartu Keluarga;

□ KTP.

Catatan proses :
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Pemohon, Petugas Layanan, Mengetahui

Admin KK-Dadatik,

( ....................................... ) ( ........................................ ) ( ...................................... )

 FOMULIR LAYANAN MANAJEMEN DAPODIK
DINAS PENDIDIKAN DAN KEBUDAYAAN PROVINSI BANTEN
TAHUN 2021

Hari/Tanggal : .........................................................................................
Nama Pemohon : .........................................................................................
Asal Sekolah : .........................................................................................

Jenis Layanan : Mutasi PTK/Recovery PTK/Edit Status Penugasan PTK/

Edit Status Kepegawaian PTK/Tambah Penugasan PTK

Persyaratan :

□ Surat Pengantar dari KCD;

□ SPT dari KCD/Dinas Pendidikan dan Kebudayaan Provinsi Banten (khusus PTK PNS);

□ Surat Keterangan Lolos Butuh;

□ SK Pembagian Jam Mengajar;

□ SK Penugasan PTK;

□ FC.KTP.

Catatan proses :
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Pemohon, Petugas Layanan, Mengetahui

Admin KK-Dadatik,

( ....................................... ) ( ........................................ ) ( ...................................... )

 FOMULIR LAYANAN MANAJEMEN DAPODIK
DINAS PENDIDIKAN DAN KEBUDAYAAN PROVINSI BANTEN
TAHUN 2021

Hari/Tanggal : .........................................................................................
Nama Pemohon : .........................................................................................
Asal Sekolah : .........................................................................................

Jenis Layanan : Mutasi Siswa/Pengaktifan Siswa/Mapping Rombel/

NISN Ganda

Persyaratan :

□ Surat Pengantar dari KCD;

□ Surat Mutasi Siswa;

□ Surat Keterangan Lolos Butuh;

□ Surat Keterangan Siswa Aktif dari Sekolah;

□ FC. Raport;

Catatan proses :
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Pemohon, Petugas Layanan, Mengetahui

Admin KK-Dadatik,

( ....................................... ) ( ........................................ ) ( ...................................... )