FORMULIR

PENDAFTARAN
MAJELIS PERMUSYAWARATAN KELAS

Nama : .............................................................................................................

Kelas / gugus : .................................................................................................

Tempat, tanggal lahir : ................................................................................................. 3x4

Alamat : .................................................................................................

Nomor HP : .............................................................................................................

Jabatan yang diinginkan : .............................................................................................................

Alasan menjadi anggota : .............................................................................................................

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Prestasi yang pernah diraih : 1. ........................................................................................................

2. ........................................................................................................

3. ........................................................................................................

4. ........................................................................................................

Bakat dan minat : .............................................................................................................

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Visi dan Misi : .............................................................................................................

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 FORMULIR
PENDAFTARAN
MAJELIS PERMUSYAWARATAN KELAS

Riwayat Organisasi : ............................................................................................................

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 FORMULIR
PENDAFTARAN
MAJELIS PERMUSYAWARATAN KELAS

LAMPIRAN NILAI RAPOT TERAKHIR

KELAS 9
(SCAN RAPOT,LETAKKAN HASIL DI KERTAS INI, LALU PRINT)
 FORMULIR
PENDAFTARAN
MAJELIS PERMUSYAWARATAN KELAS

Dengan ini saya menyatakan, bahwa formulir pendaftaran ini saya isi dengan sungguh-
sungguh untuk menjadi anggota Majelis Permusyawaratan Kelas tahun 2022, tanpa ada paksaan
dari pihak lain dan akan mematuhi segala peraturan yang telah ditentukan.

Bondowoso, ........................... 2022

Hormat saya, Hormat saya,

(Materai 10000)
wali murid