Keterangan
Skor < 60 = Sangat kurang
61-70 = Kurang
71-80 = Cukup
81-90 = Baik
> 90 = Sangat baik
Tasikmalaya,.... ............ 20 ..
Guru Pemula Petugas Monitoring
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NIP. …................................... NIP. …............................
Mengetahui,
Kepala SDN …....................
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NIP. ….................................