PELAJARAN 2023/2024
Nama Sekolah : ....................................................................................
NPSN : ....................................................................................
Alamat : ....................................................................................
Nama Kepala Sekolah : ....................................................................................
NIP Kepala Sekolah : ....................................................................................
Nama Petugas Monitoring 1 : ....................................................................................
NIP. : ....................................................................................
Nama Petugas Monitoring 2 : ....................................................................................
NIP. : ....................................................................................
Tanggal Pelaksanaan Monev ....................................................................................
:
Jumlah
Catatan: