Pada hari ini .............................. tanggal ................ bulan ............................

tahun 2021, di SMK

DARUSSALAM MAKASSAR KOTA MAKASSAR telah verifikasi tuk (tempat uji kompetensi) penyelarasan soal ujian
kompetensi kejuruan, dari pukul .................... sampai dengan pukul ........................
1. Sekolah : SMK DARUSSALAM MAKASSAR
Ruang / Prog. Studi Keahlian : .................................................

2. Catatan Selama Verifikasi:

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

Yang membuat berita acara :

TTD

1. Tim Verifikasi _______________________________________

NIP _______________________________________ 1. ______________

2. Kepala Sekolah Ir. Noor Alamsyah

NIP _______________________________________ 2. ______________

Catatan :
- Dibuat rangkap 2 (dua)

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN

Pada hari ini .............................. tanggal ................ bulan ............................tahun 2023, di SMK
DARUSSALAM MAKASSAR KOTA MAKASSAR telah diselenggarakan Penilaian Akhir Tahun, untuk Mata
Pelajaran ........................................................... dari pukul .................... sampai dengan pukul
........................
1. Sekolah : SMK DARUSSALAM MAKASSAR
Kelas : .................................................
Jumlah Peserta Seharusnya : ..........................................................................................................
Jumlah Hadir : ..........................................................................................................
Jumlah Tidak Hadir : ..........................................................................................................

2. Catatan Selama Pelaksanaan Penilaian Akhir Tahun:

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

Yang membuat berita acara :

TTD

1. Pengawas _______________________________________

NIP _______________________________________ 1. _________

_____

2. Kepala Sekolah Drs. H. Arifin, M.Pd

NIP _______________________________________ 2. ______________

Pada hari ini .............................. tanggal ................ bulan ............................tahun 2022, di SMK
DARUSSALAM MAKASSAR telah diselenggarakan Ujian Akhir Sekolah Berbasis Komputer (UAS – BK), untuk
Mata Pelajaran ........................................................... dari pukul .................... sampai dengan pukul
........................

Sekolah : SMK DARUSSALAM MAKASSAR

ID Server : ..........................................................................................................
Ruang : ..........................................................................................................

Sesi : ..........................................................................................................
Jumlah Peserta Seharusnya : ..........................................................................................................
Jumlah Hadir (Ikut Ujian) : ..........................................................................................................
Jumlah Tidak Hadir : ..........................................................................................................
Username : ..........................................................................................................

Catatan Selama Pelaksanaan Ujian Akhir Sekolah Berbasis Komputer (UAS – BK):

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

Yang membuat berita acara :

NAMA TTD

1. Proktor .....................................................................

NIP ..................................................................... 1. ........................

2. Pengawas .....................................................................

NIP ..................................................................... 2. ........................

3. Kepala Sekolah .....................................................................

NIP ..................................................................... 3. ........................

 Catatan :
- Dibuat rangkap 3 (Tiga), masing-masing untuk Sekolah, Provinsi

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN

Pada hari ini .............................. tanggal ................ bulan ............................tahun 2022, telah
diselenggarakan Ujian Praktek untuk Mata Pelajaran ........................................................................... dari
pukul .................... sampai dengan pukul ........................
Provinsi : SULAWESI SELATAN
Kota/Kabupaten : MAKASSAR
Sekolah : SMK DARUSSALAM MAKASSAR
Kelas : ..........................................................................................................
Tempat Penyelenggaraan : ..........................................................................................................
Mata Diklat : ..........................................................................................................
Jumlah Peserta Seharusnya : ................. Orang
Jumlah Peserta yang Tidak Hadir : ................. Orang
Yaitu Nomor : ..........................................................................................................
..........................................................................................................
..........................................................................................................
..........................................................................................................

Catatan Selama Pelaksanaan Ujian :

Penguji :

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

Yang membuat berita acara :

Jabatan Nama TTD

Penguji ..................................................................... ...........................

NIP .....................................................................
Catatan :
- 1 (satu) eksemplar untuk Sekolah/Madrasah
- 1 (satu) eksemplar untuk Provinsi
- 1 (satu) eksemplar untuk Pusat

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN PROVINSI SULAWESI SELATAN