PEMERINTAH KOTA CIMAHI DINAS PENDIDIKAN SMP PGRI 3 CIMAHI NPSN 20224094, JI Panday RT.002 RW.006, Kecamatan Kec. Cimahi Tengah Kota Cimahi- Prov. Jawa Barat. Telp 0226651689, Fax 0226651689, Email SURAT PERNYATAAN TANGGUNG JAWAB MUTLAK (SPTJM) DATA POKOK PENDIDIKAN Yang bertanda tangan di bawah ini Nama Fenny Ratna Mirawati Jabatan Kepala Sekolah Satuan Pendidikan : SMP PGRI 3 CIMAHI menyatakan dengan sesungguhnya bahwa 1. Bertanggung jawab penuh atas kebenaran dan kemutakhiran data yang diisikan dan dikirimkan melalui aplikasi Dapodik. 2. Apabila di kemudian hari terdapat ketidaksesuaian antara data yang dikirimkan dengan keadaan yang sebenarnya, kami bertanggung jawab sepenuhnya dan bersedia menerima sanksi sesuai dengan ketentuan peraturan perundang-undangan. Demikian pernyataan ini kami buat dengan sebenar-benarnya Kota Cimahi, 31-01-2024 Kepala Sekolah SMP PGRI3 CIMAHI (Fenny Ratna Mirawati ) NIP: null halaman 1 dari 9PEMERINTAH KOTA CIMAHI DINAS PENDIDIKAN SMP PGRI 3 CIMAHI NPSN 20224094, JI Panday RT.002 RW.006, Kecamatan Kec. Cimahi Tengah Kota Cimahi- Prov. Jawa Barat. Telp 0226651689, Fax 0226651689, Email LAMPIRAN 1 DATA SATUAN PENDIDIKAN Nama Sekolah NPSN Bentuk Pendidikan Status Sekolah Status Kepemilikan SK Izin Operasional Tanggal Sk Alamat Desa/Kelurahan Kecamatan Kabupaten/Kota Propinsi RT RW Nama Dusun Kode Pos Lintang Bujur Layanan Keb. Khusus : SK Pendirian Sekolah : : 1960-01-08 : 0099761229001 Tanggal SK Rekening BOS Nama Bank Nama KCP/Unit Atas Nama MBS Nomor Telepon Nomor Fax Email Website SMP PGRI3 CIMAHI 20224094 : SMP : Swasta : Yayasan 75/1.02.4/R.81 1960-01-08 : Jl, Panday RT.002 RW.006 : Karangmekar : Kec. Cimahi Tengah : Kota Cimahi : Prov. Jawa Barat 12 16 Karangmekar 40523 1 -6.8793 : 107.5484 Tidak ada 75/1.02.4/R.81. Bank BJB Cimahi SMP PGRI3 CIMAHI : Ya : 0226651689 : 0226651689 smppgri3cimahi1960@gmail.com 2 httpi// halaman 2 dari 96 vep € uewejey 000€80'er'8y Tew LLLOg-L0-€20z 8 8 L goa, Buena | 9d dWS UeUNBUEg sejey/uoa, Bueny] OL 000880'er'8h yew SL LLOE-LO-€Z0z 8 8 L Zoe Buend|€ dd dS UeUNBUeg sejay/uo9| Bueny 6 000022'25:90 1yewiiD :ZL.L62-80-220Z OL SL L Val winuoreiogel| € 1u9d diNS UeUNBueg Yd winyoyeioge? 8 000206's2:be yeu, 20ZL62-L0-€70Z st z L id nun6 y9I101| € Dd dS UeUNBuEg DIE-PIET NaN UII £ 000022'25:90 yew {ZL167-80-2202 s 9 L dINOO av} € [ud dS UeUNBUeg | Ja;ndwoy WinHoYeIogGe7 9 000206'S2:p€ Tew OZ167-L0-E207 8 8 L Loa) Buena |e dd dNS UeUNBUeg sejay/u08| Bueny s 000L06'sz:re yew :0ZL62-L0-€Z0Z L z L eUUEM eMSIS 131101] € IYDd dS UeUNGUeg | UeNdutaieg EMSIS ¥I110 v 000022'25:90 yew :ZLL6Z-B0-ZZ0Z € v L| _yeloyas eleday Bueny| € Idd dINS UeUNBUeg| Yejoyas ejeday Bueny € 000L06'sz:ve TYeUID 10Z162-L0-€207 L z L eud emsis ator] ¢ 9d dWS UeUNBueg DEEPIET EMSIS HII z 000L06'Sz:be yew 0% L62Z-L0-€Z0Z L z L eyuem nun6 ja]!01] € 1d dWS UeUNnBUeg] UeNdwalag nung YI! L arepdn mem _seqe7 Suelueg| rewey Bueny ewen ueunbueg eulen eueieseig swap | ON VNVUVSVud NVG VNVUVS ZNVUIdNVT Wo !eWs5OO9I6 LIUeUoEUBddws [1eWy *6891G99ZZO XB4 '689LS99ZZO dja, WeIeG EMEP ‘AOI - |YELUID BLO yeBua 1yeuig ‘oay Ue}eWIeday ‘900'7MH ZO0'LY Aepued IP 'p60"ZZOZ NSAN IHVWID € 149d dS NVMIGIGNad SVNIG IHVINIO WLOM HVLNINaWad6 vep y uewerey 00008S'9%:+0 yew {ZLLOE-80-2202 € 8 L tung Bueny |g 9d dWS UeUnBueg tung Bueny| 9b 000022'25:90 TyeuID PEFDET ZLL62-B0-Z20Z sl z L € 1d9d INS UeUNBueg | mung OM/IpuRW JeWey| SL 000022'25:90 Tye DerDET ‘TLL6Z-80-220 st z L € [ddd GINS UeUNBueg | emsis OM/IpuEW JeWey| PL 000022'25:90 Tew uenduwiaied ‘ZL162-80-2202 sl z L € Od dINS UeUNBueg | emsis OM/IpuEW JeWeN] EL 000022'25:90 Tye uenduisieg {ZL16Z-80-2207 si z L £ l¥9d dS UeUNBueg | ning OM /pueW sewey] — ZL 000022'25:90 Tew *ZLL6Z-80-2207 6| set L|__ueeyersndiog Bueny|¢ Idd dS UeUNGUeg| —_Ueeyersndieg Bueny| LL arepdn mem] _seqe7] Guefueg] jewey Bueny eweN ueunbueg euleN eueieseig suar| ON woo yebuay, wiBDO96 ewIogUBddwS yeusg “6891599720 Xe '6891S99ZZ0 dja] TEI EME “AOI - IYBLUID EO "UK “93> UEYELIEDIY '900'MA ZOOL AepUed If ‘Y60PZZOZ NSAN IHVWID € 1¥Dd dS NVWIGIGN3d SVNIG INV VLOW HVLNIYAWad6 uep § uewerey 000206 SeveoeL zoo00z6 9L00s9s eueynr 62-L0-€202 HePL| Zo-S0-S961]} Ald/ALO| ladeW nung | yoepzrERs ozogoceze] 7 apaa| __e 000206 nemenw ‘SZVEOZL yetoyas| —_z9000¢0 zLooozy euey 62-L0-€202 PA| EL-70-0Z6L| ALd/ALO ejedoy | sosp/spz6 oeszocize| fuues} —% 000206 pds ‘StEOZL zooooes zo000Ly ‘juelyeH 62-L0-€20Z eA 22-70-0261] ALd/ALO | [ade nung | poseZysZz ozszoezze| dis Auuay L arepdn NU npem| —_yeioyes| aye 7 161 smeis siuer] LN diN min] df ewen| ON NvMIGIN3d3y VOVNAL NVO ND € NVUIdNVT woo yebuay, WWHOO96 LIUPUOEUBAdws [reWy “6891G99ZZO XB4 '689LG99ZZO dja, IeIeG EMEP “AOI - |YELUID BLO, ulLd“ayj UETEUIEDAY ‘900° ZO0'1Y Aepued ‘IP 'v60¥ZZ0Z NSAN IHVWID € 149d dS NVMIGIGNad SVNIG IHVINIO WLOM HVLNINaWad6 vep 9 uewejey O000Ez OC EOLLL eyapiaw Sz-L0-¥20z | dWS__wininyuny eueynr apeg L yoas Bueny £seiay Z € 00002 9ZEO-L LL eL0z SZ-LO-¥z0z | dS __wininyUNy eueynr apeq Zuoa, Bueny 8 Seay 8 z o000ez OZE0:2 LL Loz Sz-L0-pZ0z | dWS —_WninyuNy | ‘pd's ‘WeIyeH Nis AUST Noa, Bueny 6 seiay1 6 L aiepdn DEM wininuny) em/nung eursestid yeyBuly ewen| ON uvrv7a8 NVONOSWOY vy NVUIdNVT woo wi8DO96 LyewogUBdduss yeusg “6891S99ZZ0 Xe ‘689159920 dial TEIEG EMEL ‘AOId - IYEWHID E10 yebua, 1yeuiid “oay Ue}eUIeDSy ‘900’ MH ZO0LH Aepued If ‘y60PZZ0Z NSAN IHVWID € 149d dS NVMIGIGNad SVNIG IHVINIO WLOM HVLNINaWad6 uep £ uewejey ‘oo00zz OZ0ELLL 6] Looogos AWAVGIH ¥0-0-€202 6| _6 seem | s9vegrg00| oozzozZze| WINV VIN | 0z-S0-8002| _1| WNVAINW lga30|Z 000206 wiv ‘StEOZL 0] ZoooLig} —weeyoy NAVY 62-L0-€202 Z|__zseiy| oviszztto | o6stozoze wea | 61-80-LL0Z| | INYIOH ~~ HVNSNH| 9 ooo0zz HIS Oz:0E:LLL 8] 1000609] ONINVIGIM y0-Y0-8202 8| _8seiey| 9€L2z600| ozLzozoze vai| 21-90-6002] 1 NvdGVAVHAW| Ss overt PELELLL €| LooooLy} iWMVvNID maa ZL-LO-vZ0z, Z|___zseiay| vevos90L0 | osszozcze wNId| Si-vo-0Ll0z| —d|WWHOvy =WNWdv| 000206 Sz:veozL z| zoooors 62-20-€20Z Z| cseiy| zeoszeoto| colzozzze| WuvHNs| ol-so-oLoz| 1 VIVNIG VAuns YvoGa g ‘oo00zz OZ0ELLL L| zooo6oe VAUVVZ ¥0-¥0-€202 8] _8seien| pZLoze60o| o9zzozzze| vAIWns| 9z-€0-6002| {OHA ~avWWVHOW| Zz o000zz “OZOELLL | Loooz06} = 1LavHOw y0-v0-£202, a] _sseiey| Lz9oLtzoe| osozozzze \3| 60-60-2002] 1] NVHaVa GVVHNW. L aiepdn mpm] equew| _yey5ury NSIN min] nqiewen| aweri6L | d/1 ewen| ON yidid vidasad S NVUIdNVT woo WWHDO96 LIUEUIOEUBAdWs [reWy “6891G99ZZO XB4 '6891S99ZZO dja, WeIeG EMEP “AOI - |YELUID EL0y, yeBua 1yeuig ‘oay Ue}eWIeday ‘900 MH ZO0'LY Aepued IP 'p60"ZZOZ NSAN IHVWID € 189d dS NVMIGIGNad SVNIG IHVINIO WLOW HVLNINaWad6 vep g uewejey ‘000081 TELELL 9] zooogoz} yjsaexns ¥2-80-€202 6| _ 6 seem | 8ezoLeso0| Lo9eoz/ze eus']| 9z-21-8002| | VWS3G WIZ INZVd| SL overt PELELLL 8| 9001209 vostd HvsI03ZVH ZL-Lo-vz0z 6| 6 seien| 1z6089200| ovozozziE WNvIG| ¥0-90-200z| 1, 7kzv_VAWWVHOW| PL 000206 Sz:veozL v} _vooozor 62-L0-€202 6| 6 seien| sseeeozoe| ozzsoezze| IN3VUNN| Zz-Lo-200z| 7 VULAdYS AMIN] EL ooooLe WL Lory:80L 9] cooogor | NVAVWSON AWAWGIH 9L-01-€20z 6] _6seien| opzsirs00| opoeoz/ze luis| po-ro-800z| | VNVANZ3N_——_IWWIZ]_—_ZL OO00LE. Lo:ry'80L 9) zooogoz} LNvLso¥ NwMvWu3H 9L-OL-€202 6| 6 seiey| zyoe6z600| o6L8lzoze U3A| 6L-zi-s00z| 1 [NVI YVHVN| LL ‘000022 “OZ-0ELLL 8] zooogoe} INVAINW Y0-Y0-€202. 6| _ 6 seien| vrz98z800| oLozozzze tus | yo-e0-800z| 1] AGTODaVWWHAW| OL oooeos OL6L 7 LL L] soo060z] HvWIHOu Ruindvs zz-Lo-vz0z 4|__cseiey| 2eL0zv600 | ozszozize wii | t-2o-600z| __d | vNA0 ANVIAVG 6 ‘O0001€ HVaINVH LO:yy'80L 8] 1000909 st 9L-OL-€202 6| _ 6 seiey| 86z5Sz900| oz9sogoze |Iv ONANN | 2z-90-9002| __d Hydhiv IIS} 8 aiepdn npem| — equow| — ey6ur NSIN MIN] ngiewen} —ayeTibL} df ewen] oN woo ui8D096 yeUogUBdduss eur ‘689LS99ZZ0 xe ‘689159920 dal TeIEG Emer ‘AOId - IYEUIID eL0y yeBual 1yeuig ‘oay Ue}eWIeday ‘900 MH ZO0'LY Aepued IP 'p60"ZZOZ NSAN IHVWID € 189d dS NVMIGIGNad SVNIG IHVINIO WLOM HVLNINaWad6 vep 6 uewerey overt VELELLL 0] Loov60z} nemeney quelueny, ZL-LO-vZ0z 6| _ 6 seiem| oszzes600| oeselezze us| et-zo-e00z| —d|nseu_'A__esiais|__1z oo00zz, Oz:08:LLL Z| zooogoo} ~vivwox lave v0-v0-€202 6| _sseien| 12796800] Lz96zzoze vou | Zz-0l-800z| __d|IMG@_viNO_WulavAS| _0z oo00zz Oz:0EZLL 8] zooozoz} — viNuny ¥0-Y0-€202 6| 6 seiey| 91si9ez00| Leseozzze| ONANO| 8z-ZL-Z00z| od tuys vNsM| 61 ‘o000zz OZOELLL £] zoo060z INVI3VZ ¥0-0-€202 6| _6seiem| Zzovzse00| Lezeozzze| vAWWns| €z-Zl-600z| _1|NVHLV9_GWWVHNW| 8 ooooLe Lory'80L €] £00060z > 9L-OL-€Z0z 6| _6 seen | 65629600] osizozzze}] INYVWNS| 81-20-6002] __1/YNN VOY GVWVHAW| ZL ‘oo00zz Oz:0ELLL z| vooo60s 70-0-€202 6| 6 Seiey| yy8816600| OOZLOZZzE | eUSCY sory | OE-S0-6002| _d | BsIUUYINNANgeYysez| OL arepdn npem| — equoy] — xSur NSIN MIN] ngiewen | —ayeTIbL} df ewen} oN woo yebuay, WWHOO96 LIUPUOEUBAdws [reWy “6891G99ZZO XB4 '689LG99ZZO dja, IeIeG EMEP “AOI - |YELUID BLO, ulLd“ayj UETEUIEDAY ‘900° ZO0'1Y Aepued ‘IP 'v60¥ZZ0Z NSAN IHVWID € 149d dS NVMIGIGNad SVNIG IHVINIO WLOM HVLNINaWad