PEMERINTAH PROPINSI NUSA TENGGARA BARAT

DINAS PENDIDIKAN DAN KEBUDAYAAN

SMA NEGERI 1 PALIBELO .
Jln. Sultan Muh. Salahuddin Ragi Palibelo

BERITA ACARA
PELAKSANAAN KEGIATAN .........................................................
Nomor: /20..........

Pada hari ....................tanggal ...................bulan ........................tahun dua

ribu ................dari pukul............s.d pukul .......... telah dilakukan kegiatan ..............................
di ................... dengan jumlah peserta .orang.

1. Materi
bimbingan ...................................................................................................................................
......................................................................................................................................................
..................................................................................................................................................
…………………………………………………………………………………………………
…………… Hasil
bimbingan ...................................................................................................................................
......................................................................................................................................................
......................................................................................................................................................
...........................................................................................................................................
…………………………………………………………………………………………………
…………………DAFTAR HADIR PESERTA
NO NAMA JABATAN//MAPEL NIP/NUPTK T.TANGAN

Demikian berita acara ini kami buat agar dapat dipergunakan sebagaimana mestinya.

Palibelo., ........................... 20.....

Mengetahui, Calon Pengawas Sekolah,
Kepala Sekolah

A. AZIS, S.Pd Drs. YUSUF

Nip. 196512311989031218- Nip. 196602212000121004

PEMERINTAH PROPINSI NUSA TENGGARA BARAT

 DINAS PENDIDIKAN DAN KEBUDAYAAN
SMA NEGERI 2 Woha.
Jln.
BERITA ACARA
PELAKSANAAN KEGIATAN SUPERVISI
Nomor: /2018.

Pada hari .tanggal .bulan mei .tahun dua ribu delapan

belas.dari pukul pukul . telah dilakukan kegiatan di SMA Negeri.2 Woha
dengan peserta .orang.

2. Materi
bimbingan ...................................................................................................................................
......................................................................................................................................................
..................................................................................................................................................
…………………………………………………………………………………………………
…………… Hasil
bimbingan ...................................................................................................................................
......................................................................................................................................................
......................................................................................................................................................
...........................................................................................................................................
…………………………………………………………………………………………………
…………………
Demikian berita acara ini kami buat agar dapat dipergunakan sebagaimana mestinya.

Woha, Mei 2018.

Mengetahui, Calon Pengawas Sekolah,
Kepala Sekolah

MUHAMMAD, S.Pd, MM Drs. YUSUF

Nip.19630722 199003 1 010 Nip. 196602212000121004