RAPOR

PESERTA DIDIK

SEKOLAH DASAR

Nama Peserta Didik:

NIS : ……………………………………

NISN : ……………………………………

PEMERINTAH KABUPATEN BENGKULU SELATAN

DINAS PENDIDIKAN PEMUDA DAN OLAHRAGA
SD NEGERI 20 BENGKULU SELATAN
Jalan Veteran Kel. Padang Kapuk Kota Manna Bengkulu Selatan
E-Mail : sdn20bengkuluselatan@gmail.com Telp : (0739) 23534
 RAPOR
PESERTA DIDIK
SEKOLAH DASAR

Nama Sekolah : SD Negeri 20 Bengkulu Selatan

NSS / NPSN : 101260304053 / 10701001
Alamat Sekolah : Jl. Veteran
Kelurahan/Desa : Padang Kapuk
Kecamatan : Kota Manna
Kabupaten : Bengkulu Selatan
Provinsi : Bengkulu
Telpon : (0739) 23534
E-Mail : dempodeni@gmail.com
 IDENTITAS PESERTA DIDIK

Nama Peserta Didik :_______________________________________

Nomor Induk Sekolah :_______________________________________
NISN : ______________________________________
Tempat, Tanggal Lahir :_______________________________________
Jenis Kelamin :_______________________________________
Agama :_______________________________________
Pendidikan Sebelumnya :________________________________________
Alamat Peserta Didik :________________________________________
Nama Orang Tua
Ayah :________________________________________
Ibu :_________________________________________
Pekerjaan Orang Tua
Ayah :_________________________________________
Ibu :_________________________________________
Alamat Orang Tua
Jalan :_________________________________________
Kelurahan/Desa :_________________________________________
Kecamatan :_________________________________________
Kabupaten/Kota :_________________________________________
Provinsi :_________________________________________
Wali Peserta Didik
Nama :_________________________________________
Pekerjaan :_________________________________________
Alamat :_________________________________________

Kota Manna, ............................

Kepala Sekolah,

Pas foto
Ukuran
3 X 4 CM

NURJANI, S.Pd.SD,M.Pd.
NIP. 196303031983072001
 RAPOR PESERTA DIDIK DAN PROFIL PESERTA DIDIK

Nama Peserta Didik : ANUGRAH IKHLAS NURUL QALBI Kelas : IV

NIS / NISN : 0079886540/ 1682 Semester :1
Nama Sekolah : SDN 15 Bengkulu Selatan Tahun Pelajaran : 2017/2018
Alamat Sekolah : Jl.Canada Kel. Tanjung Mulya
Pasar Manna

A. Sikap
Deskripsi
1. Sikap Spiritual

2. Sikap Sosial

B. Pengetahuan dan Keterampilan

Pengetahuan
Pengetahuan
No. Muatan Pelajaran
Nilai Predikat Deskripsi
1 Pendidikan Agama dan ..............................................................................
Budi Pekerti
..............................................................................
..............................................................................
..............................................................................
..............................................................................
2 Pendidikan Pancasila 80 B ..............................................................................
dan Kewarganegaraan
..............................................................................
..............................................................................
..............................................................................
..............................................................................
3 Bahasa Indonesia ..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
4 Matematika ..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
5 Ilmu Pengetahuan Alam ..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
6 Ilmu Pengetahuan ..............................................................................
Sosial
..............................................................................
..............................................................................
..............................................................................
..............................................................................
7 Seni Budaya dan ..............................................................................
Prakarya
..............................................................................
..............................................................................
..............................................................................
..............................................................................
8 Pendidikan Jasmani, ..............................................................................
Olahraga dan Kesehatan
..............................................................................
..............................................................................
..............................................................................
..............................................................................
9 Muatan Lokal ..............................................................................
a. ...........................
..............................................................................
 b. ...........................
c. ...........................
Keterampilan
No. Muatan Pelajaran
Nilai
1 Pendidikan Agama dan
Budi Pekerti
2 Pendidikan Pancasila
dan Kewarganegaraan
3 Bahasa Indonesia
4 Matematika
5 Ilmu Pengetahuan Alam
6 Ilmu Pengetahuan
Sosial
7 Seni Budaya dan
Prakarya
8 Pendidikan Jasmani,
Olahraga dan Kesehatan
9 Muatan Lokal
a. .......................
b. .......................
c. .......................
..............................................................................
..............................................................................
Keterampilan
Predikat Deskripsi
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
Abdul sangat baik Menyajikan hasil
identifikasipelaksanaan kewajiban dan hak
sebagaiwargamasyarakat dalam kehidupan
sehari-hari, baik dalam Mengemukakan manfaat
keberagaman karakteristikindividu dalam
kehidupan sehari- hari
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
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..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................
..............................................................................

C. Ekstrakurikuler
Kegiatan
No Keterangan
Ekstrakurikuler
1

D. Saran-saran

…………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
 ………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………

E. Tinggi dan Berat Badan

Semester
No. Aspek Yang Dinilai
1 2
1. Tinggi
2. Berat Badan

F. Kondisi Kesehatan
No. Aspek Fisik Keterangan
1. Pendengaran
2. Penglihatan
3. Gigi
4. Lainnya, ………………….

G. Prestasi
No. Jenis Prestasi Keterangan
1.
2.
3.

H. Ketidakhadiran

Sakit ……….. Hari

Izin ……….. Hari
Tanpa Keterangan ……….. Hari

Mengetahui Kota Manna, Desember 2017

Orang Tua / Wali Guru Kelas

………………………. SRI ISMIYATI,S.Pd

NIP. 196107261982042010

Kepala Sekolah

YULIAR SULASMI.
NIP. 197107261995062001
 KETERANGAN PINDAH SEKOLAH
Nama Peserta Didik : M.ARBI DARUS

KELUAR
Tanda Tangan Kepala Sekolah,
Kelas yang Sebab-sebab keluar atau
Tanggal Stempel Sekolah, dan Tanda
Ditinggalkan atas permintaan (Tertulis)
Tangan Orang Tua/ Wali
__________, __________
Kepala Sekolah,

NIP

Orang Tua/ Wali,

__________, __________
Kepala Sekolah,

NIP

Orang Tua/ Wali,

__________, __________
Kepala Sekolah,

NIP

Orang Tua/ Wali,

 KETERANGAN PINDAH SEKOLAH
Nama Peserta Didik :

NO. MASUK
1. Nama Peserta Didik : _________, _______
Kepala Sekolah,
Nomor Induk :
Asal Sekolah :
Masuk di Sekolah ini:
NIP.
a. Tanggal :
b. Di Kelas :
c. Tahun Pelajaran :
2. Nama Peserta Didik : _________, _______
Kepala Sekolah,
Nomor Induk :
Asal Sekolah :
Masuk di Sekolah ini:
NIP.
a. Tanggal :
b. Di Kelas :
c. Tahun Pelajaran :
3. Nama Peserta Didik : _________, _______
Kepala Sekolah,
Nomor Induk :
Asal Sekolah :
Masuk di Sekolah ini:
NIP.
a. Tanggal :
b. Di Kelas :
c. Tahun Pelajaran :