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PEMERINTAH KABUPATEN MAJALENGKA

DINAS PENDIDIKAN
SMP NEGERI 1 CINGAMBUL
Alamat : Jalan Desa Nagarakembang No. 11 Cingambul - Majalengka 45467
Email: smpn1_cingambul@yahoo.co.id  (0233) 319530

BUKU TAMU KHUSUS PEMBINAAN


HARI, TANGGAL : ............................................................

NO. NAMA / NIP JABATAN ASAL INTANSI TANDA TANGAN

1.

2.

3.

4.

5.

A. Diterima : ...........................................................................................
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` ...........................................................................................

B. Tujuan : ...........................................................................................
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C. Pesan / Kesan / Temuan : ..........................................................................................


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Cingambul, .......................................
Kepala Sekolah

NIP. .................................................

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