1. Nama : ...................................................................
2. Mapel/Kelas : ...................................................................
3. Judul Modul : ...................................................................
4. Kegiatan Belajar : ................................................................... (KB 1/2/3/4)
5. Refleksi
1. .......................
Daftar materi bidang studi yang
2 2. .......................
sulit dipahami pada modul
3. Dst.
( )