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KARTU IZIN SISWA KARTU IZIN SISWA

Hari / Tanggal : ................................................................ Hari / Tanggal : ................................................................


Nama : ................................................................ Nama : ................................................................
Kelas : ................................................................ Kelas : ................................................................
Alasan Keluar : ................................................................ Alasan Keluar : ................................................................
................................................................. .................................................................
Jam Keluar : ................................................................ Jam Keluar : ................................................................
Jam Kembali : ................................................................ Jam Kembali : ................................................................
Limboto, Limboto,
Mengetahui Mengetahui
Guru Pembimbing Guru MP/Wali Kelas Guru Pembimbing Guru MP/Wali Kelas

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

KARTU IZIN SISWA KARTU IZIN SISWA

Hari / Tanggal : ................................................................ Hari / Tanggal : ................................................................


Nama : ................................................................ Nama : ................................................................
Kelas : ................................................................ Kelas : ................................................................
Alasan Keluar : ................................................................ Alasan Keluar : ................................................................
................................................................. .................................................................
Jam Keluar : ................................................................ Jam Keluar : ................................................................
Jam Kembali : ................................................................ Jam Kembali : ................................................................
Limboto, Limboto,
Mengetahui Mengetahui
Guru Pembimbing Guru MP/Wali Kelas Guru Pembimbing Guru MP/Wali Kelas

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

KARTU IZIN SISWA KARTU IZIN SISWA

Hari / Tanggal : ................................................................ Hari / Tanggal : ................................................................


Nama : ................................................................ Nama : ................................................................
Kelas : ................................................................ Kelas : ................................................................
Alasan Keluar : ................................................................ Alasan Keluar : ................................................................
................................................................. .................................................................
Jam Keluar : ................................................................ Jam Keluar : ................................................................
Jam Kembali : ................................................................ Jam Kembali : ................................................................
Limboto, Limboto,
Mengetahui Mengetahui
Guru Pembimbing Guru MP/Wali Kelas Guru Pembimbing Guru MP/Wali Kelas

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

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