PAGUYUBAN KELAS V

SEKOLAH DASAR NEGERI 015 SUMBER MAKMUR

KECAMATAN TAPUNG
Alamat : Jl. Nurul Iman Desa Sumber Makmur Kode POS 28464
NSS : 101140640015 AKREDITASI A NPSN : 10494851

24 Oktober 2019

No : 421.2/Pakes.VB/SDN.015-SM/2019/003 Kepada Yth. Bapak/Ibu

Perihal : Undangan Rapat Paguyuban Orang Tua dari ...........................................
Di Tempat.

Dengan Hormat,

Melalui surat ini kami mengundang Bapak / Ibu orang tua siswa kelas V ( Lima ) B
Sekolah Dasar Negeri 015 Sumber Makmur pada :
Hari : Sabtu
Tanggal : 26 Oktober 2019
Pukul : 08.30 WIB
Tempat : Ruang Kelas 5 B
Agenda : 1. Penyelesaian Masalah Belajar Siswa
2. Lain-lain

Mengingat pentingnya agenda yang perlu untuk dimusyawarahkan pada pertemuan ini,
kami sangat mengharapkan kehadirannya dan dapat hadir tepat pada waktunya.

Demikian undangan ini kami buat, atas perhatian dan kerjasamanya yang baik kami
ucapkan terimakasih.

Ketua Paguyuban Kelas VB

Hj. U S M A N I A R

PAGUYUBAN KELAS IV
 SEKOLAH DASAR NEGERI 015 SUMBER MAKMUR
KECAMATAN TAPUNG
Alamat : Jl. Nurul Iman Desa Sumber Makmur Kode POS 28464
NSS : 101140640015 AKREDITASI A NPSN : 10494851

BERITA ACARA

Pada Hari ini ................................................... tanggal .......................................................Tahun ...............................

pukul ........... sampai dengan ..................... Telah dilaksanakan rapat Paguyuban Kelas .......... dengan
agend rapat sebagai berikut :
1. .....................................................................................................................................................................................................
.....................................................................................................................................................................................................
2. .....................................................................................................................................................................................................
.....................................................................................................................................................................................................
3. .....................................................................................................................................................................................................
.....................................................................................................................................................................................................
4. Rapat tersebut di hadiri oleh :
a. Orang tua / Wali murid berjumlah : .......................... Orang.
b. Guru : .......................... Orang
c. Kepala Sekolah : .......................... Orang
c. Ketua Paguyuban Kelas : .......................... Orang
d. Komite Sekolah : ........................... Orang
Adapun daftar hadir dan hasil rapat sebagaimana terlampir.
Demikian berita acara ini dibuat dengan sebenarnya agar dapat dipergunakan sebagai dokumen
resmi pihak sekolah.

Dibuat di : Sumber Makmur

Pada tanggal : ...................................................... 20......

KETUA PAGUYUBAN KELAS

Hj. U S M A N I A R

PAGUYUBAN KELAS IV
 SEKOLAH DASAR NEGERI 015 SUMBER MAKMUR
KECAMATAN TAPUNG
Alamat : Jl. Nurul Iman Desa Sumber Makmur Kode POS 28464
NSS : 101140640015 AKREDITASI A NPSN : 10494851

DAFTAR HADIR RAPAT

GURU KELAS V B BERSAMA ORANG TUA / WALI MURID
PAGUYUBAN KELAS ...............

Hari : ..............................................................................
Tanggal : .............................................................................. 2019
Agenda : 1. .....................................................................................................................................................................
2. .....................................................................................................................................................................

3. .....................................................................................................................................................................
NAMA ORANG TANDA TANGAN /
NO NAMA SISWA JABATAN NO. HP
TUA / WALI PARAF
1 1.
2 2.
3 3.
4 4.
5 5.
6 6.
7 7.
8 8.
9 9.
10 10.
1 11.
2 12.
3 13.
4 14.
5 15.
6 16.
7 17.
8 18.
9 19.
10 20.
21 21.
22 22.
23 23.
24 24.
25 25.
26 26.
27 27.
28 28.
29 29.
30 30.
31 31.
32 32.

PAGUYUBAN KELAS IV
 SEKOLAH DASAR NEGERI 015 SUMBER MAKMUR
KECAMATAN TAPUNG
Alamat : Jl. Nurul Iman Desa Sumber Makmur Kode POS 28464
NSS : 101140640015 AKREDITASI A NPSN : 10494851

HASIL RAPAT
GURU KELAS V B BERSAMA ORANG TUA / WALI MURID
PAGUYUBAN KELAS ...............

Hari : ..............................................................................
Tanggal : .............................................................................. 2019
Agenda : 1. .....................................................................................................................................................................
2. .....................................................................................................................................................................
3. .....................................................................................................................................................................

1. ....................................................................................................................................................................................................
....................................................................................................................................................................................................
....................................................................................................................................................................................................
....................................................................................................................................................................................................
....................................................................................................................................................................................................
....................................................................................................................................................................................................
....................................................................................................................................................................................................

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

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

Dibuat di : Sumber Makmur

Pada tanggal : ...................................................... 20......

KETUA PAGUYUBAN KELAS

Hj. U S M A N I A R