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BUKU
JURNAL KEGIATAN
PROGRAM PRAKERIN

SEKOLAH MENENGAH KEJURUAN

SAKTI GEMOLONG
2019
 IDENTITAS SISWA

1. Nama : ......................................................................................

2. Tempat / Tanggal Lahir : ......................................................................................

3. Jenis Kelamin : ......................................................................................

4. Golongan Darah : ......................................................................................

5. Nomor Induk Siswa : ......................................................................................

6. Kelas : ......................................................................................
SMK SAKTI GEMOLONG
7. Sekolah : ......................................................................................
Jl. Raya Sukowati km. 1 Gemolong, Pos Salem 57274
8. Alamat Sekolah : ......................................................................................
Sragen
......................................................................................
08112654456
9. Nomor Telepon Sekolah : ......................................................................................

10.Catatan Kesehatan : ......................................................................................

11.Nama Orang Tua/Wali : ......................................................................................

12.Alamat Orang Tua/Wali : ......................................................................................

13.No.Telepon Orang Tua/Wali : ......................................................................................

…………………, ……………………………. 2019

Peserta PRAKERIN

_____________________________
 IDENTITAS SISWA / PERUSAHAAN / BENGKEL

Nama Industri : .....................................................................

Alamat : .....................................................................

Nomor Telepon / Fax : .....................................................................

Nama Pimpinan : .....................................................................

Nama Pembimbing : 1. .................................................................

2. .................................................................

3. ............................................................................

………….., ……………………………….. 2019

Pimpinan :
Bengkel/PT/CV/Perusahaan

________________________________
 LAPORAN KEGIATAN SISWA PRAKERIN
SMK SAKTI GEMOLONG TH 2019 / 2020

Nama Siswa : Mulai Kerja Jam :

Kelas : Selesai Jam :
Hari / Tanggal :
Jenis Pekerjaan :

Alat – alat dan Bahan yang digunakan :

Langkah – Langkah Kerja :

Keselamatan Kerja :

Mengetahui, Siswa Prakerin

Pembimbing Praktik

__________________________ __________________________
 SURAT KETERANGAN
Nomor :

Yang bertanda tangan dibawah ini pimpinan...............................................

Di..................................................................................................................

Nama Siswa :..............................................

Nomor Induk Siswa :...............................................
Tingkat : XII ( Dua Belas)
Program Keahlian : ..............................................
Sekolah : SMK Sakti Gemolong

Telah melaksanakan Program PRAKTEK KERJA INDUSTRI ( PRAKERIN)

di perusahaan kami pada tanggal.................................................s/d.....................
Dengan materi :

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

Demikian surat keterangan ini dibuat untuk dapat dipergunakan sebagaimana

mestinya.

........................................,...................................2020
Pimpinan Perusahaan

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

LEMBAR PRESENSI PRAKERIN

SISWA SMK SAKTI GEMOLONG
Nama Siswa :...........................................................................
Nomor Induk Siswa :...........................................................................
Program Keahlian :............................................................................
Tempat Prakerin :..............................................................................
Lama Praktek :..............................................................................

No Tanggal Bulan Paraf Bulan Paraf Bulan Paraf Ket

Pembimbing Pembimbing Pembimbing
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.....................................,................................2020

Mengetahui Instansi / Bengkel Pimpinan Praktek