Post on 22-Jul-2015
description
SMP/MTs/SMA/MA/SMK
BIODATA PESERTAPENDATAAN UJIAN NASIONAL SMP/MTs, SMA/MA dan SMK DINAS PENDIDIKAN KUTAI BARAT TAHUN 2011/2012
Nama NIP Jabatan Pangkat/Gol. Unit Kerja Alamat Sekolah Kode Pos Telp. Sekolah Alamat Rumah Kode Pos Telp. Rumah No. HP(harus diisi)
: ................................................................................................................................ : ................................................................................................................................ : ................................................................................................................................ : ................................................................................................................................ : ................................................................................................................................ : ............................................................................................................................... ............................................................................................................................... : ................................. : ..................................................................... Fax : ................................................. : ................................................................................................................................ ................................................................................................................................ : ................................. : ............................................................................................................................... : ................................................................................................................................ : ............................................................................................................................... : ................................................................................................................................
Alamat email(harus memiliki)
Website
Nama Sekolah NIP No. HP (Kepsek)(harus diisi)
: ................................................................................................................................ : ................................................................................. .............................................. : ................................................................................. ..............................................
Nama Kepala Sekolah : ...............................................................................................................................
........................, ...................................... 2010 Mengetahui, Kepala Sekolah Peserta,
. NIP. ..
. NIP. ..
Bidang Peningkatan Mutu Pendidikan Dinas Pendidikan Kutai Barat email: disdik_kubar_pmp@yahoo.com