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LEMBAR KUNJUNGAN (MONITORING) SISWA PSG TAHUN 2012

Nama Pembimbing

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Tanggal Kunjungan

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Nama DU/DI

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Alamat DU/DI

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No. Telpon DU/DI

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Nama-nama Siswa PSG


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2. .............................................................................
3. .............................................................................
4. .............................................................................
Data Jurnal Siswa
No

Nama Siswa

Data Absensi Siswa


Sakit

Ijin

Ket

Alpha

2
3
4
Kendala-kendala yang Dihadapi Siswa
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2. .....................................................................................................................................................
3. .....................................................................................................................................................
4. .....................................................................................................................................................
5. .....................................................................................................................................................
Keluhan-keluhan DU/DI
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2. .....................................................................................................................................................
3. .....................................................................................................................................................
4. .....................................................................................................................................................
5. .....................................................................................................................................................
....................,....................2012
Pembimbing Eksternal

Pembimbing Internal

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Nama terang dan Stempel DU/DI

Nama terang