BUKU PENGHUBUNG

SDN KARYABINANGKIT
BOJONG TANJUNG RANCAHILIR PAMANUKAN

KAYYIS ASHIMATUL MARDLIYAH

KELAS 1
 IDENTITAS SISWA
I. SISWA

NISN 3163721334
: .............................................................

Nama : KAYYIS ASHIMATUL MARDLIYAH

.............................................................

Tempat, Tanggal Lahir : Subang, 21 Juli 2016

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Alamat : DUSUN BOJONG TANJUNG

.............................................................
RT/RW 007/002 DESA RANCAHILIR
.............................................................
KEC.PAMANUKAN KAB. SUBANG
.............................................................

II. ORANG TUA

Nama Ayah A. SAEPUL MUNIR

: .............................................................

Tempat, Tanggal Lahir SUBANG,05 Maret 1988

: .............................................................

Pekerjaan WIRASWASTA
: .............................................................

Nama Ibu : RIHAH IRMALA FAJRIN

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Tempat, Tanggal Lahir PURWAKARTA, 01 SEPTEMBER 1993

: .............................................................

Pekerjaan : MENGURUS RUMAH TANGGA

.............................................................

Alamat DUSUN BOJONG TANJUNG RT. 007

: .............................................................
RW. 002 DESA RANCAHILIR
.............................................................
KEC.PAMANUKAN KAB. SUBANG
.............................................................
HARI : _____________ TANGGAL : __________

NO KEGIATAN PUKUL TTD

1 Tiba di Sekolah
(..................................)
2 Pulang dari
Sekolah (...................................
)

MATA
MATERI POKOK TUGAS
PELAJARAN

Catatan Guru
____________________________________________
____________________________________________
____________________________________________
Catatan Orang Tua
____________________________________________
____________________________________________
____________________________________________
Guru Orang Tua

(................................................) (................................................)
HARI : _____________ TANGGAL : __________

NO KEGIATAN PUKUL TTD

1 Tiba di Sekolah
(..................................)
2 Pulang dari
Sekolah (...................................
)

MATA
MATERI POKOK TUGAS
PELAJARAN

Catatan Guru
____________________________________________
____________________________________________
____________________________________________
Catatan Orang Tua
____________________________________________
____________________________________________
____________________________________________
Guru Orang Tua

(................................................) (................................................)
HARI : _____________ TANGGAL : __________

NO KEGIATAN PUKUL TTD

1 Tiba di Sekolah
(..................................)
2 Pulang dari
Sekolah (...................................
)

MATA
MATERI POKOK TUGAS
PELAJARAN

Catatan Guru
____________________________________________
____________________________________________
____________________________________________
Catatan Orang Tua
____________________________________________
____________________________________________
____________________________________________
Guru Orang Tua

(................................................) (................................................)
HARI : _____________ TANGGAL : __________

NO KEGIATAN PUKUL TTD

1 Tiba di Sekolah
(..................................)
2 Pulang dari
Sekolah (...................................
)

MATA
MATERI POKOK TUGAS
PELAJARAN

Catatan Guru
____________________________________________
____________________________________________
____________________________________________
Catatan Orang Tua
____________________________________________
____________________________________________
____________________________________________
Guru Orang Tua

(................................................) (................................................)
HARI : _____________ TANGGAL : __________

NO KEGIATAN PUKUL TTD

1 Tiba di Sekolah
(..................................)
2 Pulang dari
Sekolah (...................................
)

MATA
MATERI POKOK TUGAS
PELAJARAN

Catatan Guru
____________________________________________
____________________________________________
____________________________________________
Catatan Orang Tua
____________________________________________
____________________________________________
____________________________________________
Guru Orang Tua

(................................................) (................................................)
HARI : _____________ TANGGAL : __________

NO KEGIATAN PUKUL TTD

1 Tiba di Sekolah
(..................................)
2 Pulang dari
Sekolah (...................................
)

MATA
MATERI POKOK TUGAS
PELAJARAN

Catatan Guru
____________________________________________
____________________________________________
____________________________________________
Catatan Orang Tua
____________________________________________
____________________________________________
____________________________________________
Guru Orang Tua

(................................................) (................................................)
HARI : _____________ TANGGAL : __________

NO KEGIATAN PUKUL TTD

1 Tiba di Sekolah
(..................................)
2 Pulang dari
Sekolah (...................................
)

MATA
MATERI POKOK TUGAS
PELAJARAN

Catatan Guru
____________________________________________
____________________________________________
____________________________________________
Catatan Orang Tua
____________________________________________
____________________________________________
____________________________________________
Guru Orang Tua

(................................................) (................................................)
HARI : _____________ TANGGAL : __________

NO KEGIATAN PUKUL TTD

1 Tiba di Sekolah
(..................................)
2 Pulang dari
Sekolah (...................................
)

MATA
MATERI POKOK TUGAS
PELAJARAN

Catatan Guru
____________________________________________
____________________________________________
____________________________________________
Catatan Orang Tua
____________________________________________
____________________________________________
____________________________________________
Guru Orang Tua

(................................................) (................................................)
HARI : _____________ TANGGAL : __________

NO KEGIATAN PUKUL TTD

1 Tiba di Sekolah
(..................................)
2 Pulang dari
Sekolah (...................................
)

MATA
MATERI POKOK TUGAS
PELAJARAN

Catatan Guru
____________________________________________
____________________________________________
____________________________________________
Catatan Orang Tua
____________________________________________
____________________________________________
____________________________________________
Guru Orang Tua

(................................................) (................................................)
HARI : _____________ TANGGAL : __________

NO KEGIATAN PUKUL TTD

1 Tiba di Sekolah
(..................................)
2 Pulang dari
Sekolah (...................................
)

MATA
MATERI POKOK TUGAS
PELAJARAN

Catatan Guru
____________________________________________
____________________________________________
____________________________________________
Catatan Orang Tua
____________________________________________
____________________________________________
____________________________________________
Guru Orang Tua

(................................................) (................................................)
HARI : _____________ TANGGAL : __________

NO KEGIATAN PUKUL TTD

1 Tiba di Sekolah
(..................................)
2 Pulang dari
Sekolah (...................................
)

MATA
MATERI POKOK TUGAS
PELAJARAN

Catatan Guru
____________________________________________
____________________________________________
____________________________________________
Catatan Orang Tua
____________________________________________
____________________________________________
____________________________________________
Guru Orang Tua

(................................................) (................................................)
HARI : _____________ TANGGAL : __________

NO KEGIATAN PUKUL TTD

1 Tiba di Sekolah
(..................................)
2 Pulang dari
Sekolah (...................................
)

MATA
MATERI POKOK TUGAS
PELAJARAN

Catatan Guru
____________________________________________
____________________________________________
____________________________________________
Catatan Orang Tua
____________________________________________
____________________________________________
____________________________________________
Guru Orang Tua

(................................................) (................................................)