LEMBAR MONITORING

PENDIDIKAN SISTEM GANDA (PSG)
TP. 2011/2012
Nama Pembimbing Sekolah

: ___________________________________________________

Nama Perusahaan

: ___________________________________________________

No. Surat

: ___________________________________________________

Periode Prakerin

: ___________________________________________________

Siswa-siswa

: 1) _________________________________________________
2) _________________________________________________
3) _________________________________________________
4) _________________________________________________
5) _________________________________________________

No.

Hari/Tgl.
Monitoring

Kegiatan Monitoring

Pembimbing
Perusahaan

Tanda Tangam &
Cap Perusahaan /
Instansi

1.

2.

3.

4.

5.

Pemb. Hubungan Industri

Kepala SMK
YADIKA 13

Mohd. R Mohani, S.Pd

Josep Sri Gutanto, S.Pd

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