Nama Siswa
: .................................................................
NISN : ................................................................
.
Tgl. Lahir
: .................................................................
Alamat : ................................................................
.
...................................................................
Alamat:
Jl Utama Kavling Barokah No. 22 Kel Bahagia, Kec. Babelan
BEKASI JAWA BARAT 17612
PETUNJUK PENGGUNAAN
1. Nama : .........................................................................
2. Nomor Induk : .........................................................................
3. Tempat, tanggal lahir : .........................................................................
4. Jenis kelamin : .........................................................................
5. Pendidikan : .........................................................................
6. Alamat siswa : .........................................................................
.........................................................................
7. Nama orang tua
a. Ayah : .........................................................................
Pekerjaan : .........................................................................
b. Ibu : .........................................................................
Pekerjaan : .........................................................................
8. Wali siswa
a. Nama : .........................................................................
b. Pekerjaan : .........................................................................
9. Masuk TK tanggal : .........................................................................
Pekan
No Nama Do’a Nilai Paraf
I II III IV
EVALUASI BACAAN HADIST
Pekan
No Nama Hadits Nilai Paraf
I II III IV
EVALUASI BACAAN SURAT PENDEK
Pekan
No Nama Surat Nilai Paraf
I II III IV
EVALUASI BACAAN SHALAT
Pekan
No Nama Do’a Nilai Paraf
I II III IV