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SMKKES SURYA GLOBAL CIMAHI SMKKES SURYA GLOBAL CIMAHI

Jalan Pendidikan I No.112A Jalan Pendidikan I No.112A


Kihapit-Leuwigajah Cimahi Selatan Kihapit-Leuwigajah Cimahi Selatan
Telp. 022-688-92355 Telp. 022-688-92355

SURAT IZIN KELUAR/MASUK SURAT IZIN KELUAR/MASUK

Nama : .................................................................. Nama : ..................................................................


Kelas/Jurusan : .................................................................. Kelas/Jurusan : ..................................................................
Keperluan : Masuk/Keluar/Panggilan/Pulang Keperluan : Masuk/Keluar/Panggilan/Pulang
: ................................................................... : ...................................................................
Alasan : ................................................................... Alasan : ...................................................................
Waktu : ................................................................... Waktu : ...................................................................

Cimahi, ................................. Cimahi, .................................


Guru Piket. Konselor Guru Piket. Konselor

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

SMKKES SURYA GLOBAL CIMAHI SMKKES SURYA GLOBAL CIMAHI


Jalan Pendidikan I No.112A Jalan Pendidikan I No.112A
Kihapit-Leuwigajah Cimahi Selatan Kihapit-Leuwigajah Cimahi Selatan
Telp. 022-688-92355 Telp. 022-688-92355

SURAT IZIN KELUAR/MASUK SURAT IZIN KELUAR/MASUK

Nama : .................................................... Nama : ....................................................


Kelas/Jurusan : .................................................... Kelas/Jurusan : ....................................................
Keperluan : Masuk/Keluar/Panggilan/Pulang Keperluan : Masuk/Keluar/Panggilan/Pulang
: .................................................... : ....................................................
Alasan : .................................................... Alasan : ....................................................
Waktu : .................................................... Waktu : ....................................................

Cimahi, ................................. Cimahi, .................................


Guru Piket. Konselor Guru Piket. Konselor

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

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