Yang bertanda tangan di bawah ini, Kepala Sekolah Menengah Kejuruan ..................
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Kabupaten/Kota ............................................................................................................
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Provinsi ....................
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mener angkan bahwa:
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nama : ..............
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Sekolah ........................
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sekolah penyelenggara Ujian 12
Nasional : ..............
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LULUS
LULUS
dari sekolah menengah kejuruan setelah memenuhi seluruh kriteria sesuai dengan
peraturan perundang-undangan.
13
..................................,....................... 2017
Kepala Sekolah,
Pasfoto
Pasfoto
3cm x 4 cm
hitam putih atau
berwarna 15
16
cap tiga jari
tiga jari
tengah
tangan kiri 14
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NIP. ……………………………........
2017
DN-…… Mk/13 0000000