BERITA ACARA DAN DAFTAR HADIR

PELAKSANAAN ASESMENT MADRASAH (AM)

MADRASAH IBTIDAIYAH NU 1 SIDOREJO
TAHUN PELAJARAN 2022/2023

Pada hari ......................... tanggal .................................... bulan ................................. tahun 2023, telah dilaksanakan
Asesment Madrasah (AM) dari pukul .................WIB s.d pukul ................. WIB

Pada Madrasah : Madrasah Ibtidaiyah NU 1 Sidorejo

Ruang : ...................................................
Mata Pelajaran : ...................................................
Jumlah Peserta : Seharusnya : ........... orang, Hadir : ............... (Orang)

Peserta yang tidak hadir :............... (Orang), Nomor

Ujian : ...........................................................................................
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No
Nama Tanda Tangan Ket
Urut Pe serta
1
1 2
2
3
3 4
4
5
5 6
6
7
7 8
8
9
9 10
10
11
11 12
12
13
13 14
14
15
15 16
16
17
17 18
18
19
19 20
20 Selama Ujian : ....................................................................................................................................................
Catatan
21
..........................................................................................................................................................................................
..........................................................................................................................................................................................
22
..........................................................................................................................................................................................
23
..........................................................................................................................................................................................
24
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25
..........................................................................................................................................................................................
26
27 Sidorejo, ..................................
28 Pengawas 1 Pengawas 2
29
30

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