DINAS PENDIDIKAN
SEKOLAH MENENGAH ATAS (SMA) NEGERI 114 JAKARTA
Jalan Pedongkelan No. 25 Cilincing Jakarta Utara, Telp. 021-4404611, Fax. 021-4401904
website: http://www.sman114.sch.id Email: sman114_jkt@yahoo.co.id
Kode pos : 14120
PAKTA INTEGRITAS
PESERTA PENILAIAN TENGAH SEMESTER (PTS) GANJIL
TAHUN PELAJARAN 2022/2023
Nama
julia tsabitah
: ................................................................................................................
XII MIPA 1/5125025
Kelas/Nomor Peserta : ................................................................................................................
NIS 7801
: ................................................................................................................
rumah susun blok c lt 4 no 32
Alamat Rumah (lengkap): ................................................................................................................
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Dengan ini menyatakan:
17
Jakarta, ,,,,,,,,,,,,,, September 2022
Mengetahui,
Orang tua/Wali Murid, Peserta Penilaian Tengah Semester (PTS)