Catatan Pembinaan :
.................................................................................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
.........................................................................................................
Wirosari,......................
Supervisor, Guru Mata Pelajaran,
_______________________ _______________________
NIP. NIP.
Mengetahui,
Drs. Slamet Setya Budi, M.Pd Denny Rachmadi, S.Pd., M.Pd., M.Kom
NIP. 19670709 199802 1 004 NIP. 19760108 200501 1 1 004