SURAT PERJANJIAN

Yang bertanda tangan di bawah ini, saya peserta didik SMA Negeri 1 Rajagaluh :
Nama : ……………………………………………………………………………..
NISN : ……………………………………………………………………………..
Kelas : ……………………………………………………………………………..
Nama Orang Tua/wali : ……………………………………………………………………………..
Alamat : ……………………………………………………………………………..
……………………………………………………………………………..

Berjanji dengan sesungguhnya untuk mematuhi semua Tata Tertib Peserta Didik SMA Negeri 1 Rajagaluh,
dan berjanji ...................................................................................................................................................
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Surat perjanjian ini saya buat dengan sesungguhnya tanpa ada paksaan dari siapapun.

Mengetahui/Menyetujui Rajagaluh, ………………………. 2022

Orang tua Peserta didik Yang membuat Perjanjian

Materai 10000

Nama Jelas Nama Jelas

Guru BK / Wali Kelas

NIP.