DATA PENGGUNAAN BLANGKO IJAZAH SMA TP.

2021/2022
KABUPATEN / KOTA.....................
NPSN…...........................
(NAMA SEKOLAH)….....................................................
Alamat :…...............................................................................................
CONTOH
NAMA Jenis Kel NOMOR SERI IJAZAH JUMLAH
NO NISN NAMA SISWA TTL ALAMAT
ORANG TUA L P MAPEL IPA MAPEL IPS MAPEL BAHASA SISWA
1 L DN-12/M-SMA/K13/0000001 1
2 L DN-12/M-SMA/K13/0000002 1
3 P DN-12/M-SMA/K13/0000003 1
4 P DN-12/M-SMA/K13/0000004 1
5 P DN-12/M-SMA/K13/0000005 1
6 P DN-12/M-SMA/K13/0000006 1
7 P DN-12/M-SMA/K13/0000007 1
8 L DN-12/M-SMA/K13/0000008 1
9 L DN-12/M-SMA/K13/0000009 1
10 L DN-12/M-SMA/K13/0028689 1
11 L DN-12/M-SMA/K13/0028690 1
12 P DN-12/M-SMA/K13/0028691 1
13 L DN-12/M-SMA/K13/0053184 1
14 Dst P DN-12/M-SMA/K13/0053185 1
JUMLAH TOTAL 7 7 9 3 2 14
…................................,….....,…...2022
Kepala SMA….........................

….........................................
NIP.