Rapor MIN
description
Transcript of Rapor MIN
LAPORANHASIL BELAJAR PESERTA DIDIK
MADRASAH IBTIDAIYAH
Alamat Sekolah
Nama Sekola
NSS/NPSN:
Desa Kelurahan
Kecamatan
Kabupaten Kota
Provinsi
NAMA PESERTA DIDIK
Nomor Induk
Kode Pos Telp
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LAPORANHASIL BELAJAR PESERTA DIDIK
MADRASAH IBTIDAIYAH
Alamat Sekolah
Nama Sekola
NSS/NPSN:
Desa Kelurahan
Kecamatan
Kabupaten Kota
Provinsi
NAMA PESERTA DIDIK
Nomor Induk
Kode Pos Telp
:
:
:
:
:
:
:
LAPORANHASIL BELAJAR PESERTA DIDIK
MADRASAH IBTIDAIYAH
Alamat Sekolah
Nama Sekola
NSS/NPSN:
Desa Kelurahan
Kecamatan
Kabupaten Kota
Provinsi
NAMA PESERTA DIDIK
Nomor Induk
Kode Pos Telp
:
:
:
:
:
:
:
PETUNJUK
1. Buku Laporan Hasil Belajar Peserta ini dipergunakan selama peserta didik yang
bersangkutan mengikuti pelajaran di Sekolah Dasar.
2. Apabila pindah sekolah Buku Laporan Hasil Belajar Peserta Didik ini dibawa oleh Peserta
didik yang bersangkutan untuk dipergunakan di sekolah baru dengan meninggalkan
arsip/copy di sekolah lama.
3. Apabila Buku Laporan Hasil Belajar Peserta Didik ini hilang dapat diganti dengan Buku
Laporan Hasil Belajar Peserta Didik pengganti yang disahkan oleh Kepala Sekolah asal.
4. Buku Laporan Hasil Belajar Peserta Didik ini berisi 23 Halaman terdiri atas 1 halaman
petunjuk penggunaan. 1 halaman, Identitas Peserta Didik 16 halaman lembar nilai dan 4
halaman keterangan pindah sekolah, serta 1 halaman prestasi yang dicapai.
KETERANGAN NILAI
Nilai Mata Pelajaran
10 = Istimewa
9 = Baik sekali
8 = Baik
7 = Lebih dari cukup
6 = Cukup
5 = Kurang dari cukup
4 = Kurang
3 = Kurang sekali
Nilai Ekstrakurikuler
dan keperibadian
A = Baik sekali
B = Baik
C = Cukup
D = Kurang
E = Sangat Kurang
KETERANGAN TABEL NILAI
*) KKM ditetapkan oleh satuan pendidikan
**) Penilaian muatan lokal mengikuti penilaian kelompok mata pelajaran
Relevan
1. Nama Peserta Didik (Lengkap)
2. NIS
3. NISN
4. Tempat, Tanggal Lahir
5. Jenis Kelamin
6. A g a m a
7. Status dalam Keluarga
8. Anak ke
9. Alamat Peserta Didik
Telepon
10. Sekolah Asal
11. Diterima di sekolah ini
Di Kelas
Pada tanggal
12. Nama Orang Tua
a. Ayah
b. Ibu
13. Alamat Orang Tua
Telp./HP.
14. Pekerjaan Orang Tua
a. Ayah
b. Ibu
15. Nama Wali
16. Alamat Wali
Telepon
17. Pekerjaan Wali
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KETERANGAN TENTANG DIRI PESERTA DIDIK
..............................,.........................20....... Kepala Sekolah
______________________________ NIP.
Pas Foto3 x 4
PETUNJUK
1. Buku Laporan Hasil Belajar Peserta ini dipergunakan selama peserta didik yang
bersangkutan mengikuti pelajaran di Sekolah Dasar.
2. Apabila pindah sekolah Buku Laporan Hasil Belajar Peserta Didik ini dibawa oleh Peserta
didik yang bersangkutan untuk dipergunakan di sekolah baru dengan meninggalkan
arsip/copy di sekolah lama.
3. Apabila Buku Laporan Hasil Belajar Peserta Didik ini hilang dapat diganti dengan Buku
Laporan Hasil Belajar Peserta Didik pengganti yang disahkan oleh Kepala Sekolah asal.
4. Buku Laporan Hasil Belajar Peserta Didik ini berisi 23 Halaman terdiri atas 1 halaman
petunjuk penggunaan. 1 halaman, Identitas Peserta Didik 16 halaman lembar nilai dan 4
halaman keterangan pindah sekolah, serta 1 halaman prestasi yang dicapai.
KETERANGAN NILAI
Nilai Mata Pelajaran
10 = Istimewa
9 = Baik sekali
8 = Baik
7 = Lebih dari cukup
6 = Cukup
5 = Kurang dari cukup
4 = Kurang
3 = Kurang sekali
Nilai Ekstrakurikuler
dan keperibadian
A = Baik sekali
B = Baik
C = Cukup
D = Kurang
E = Sangat Kurang
KETERANGAN TABEL NILAI
*) KKM ditetapkan oleh satuan pendidikan
**) Penilaian muatan lokal mengikuti penilaian kelompok mata pelajaran
Relevan
1. Nama Peserta Didik (Lengkap)
2. NIS
3. NISN
4. Tempat, Tanggal Lahir
5. Jenis Kelamin
6. A g a m a
7. Status dalam Keluarga
8. Anak ke
9. Alamat Peserta Didik
Telepon
10. Sekolah Asal
11. Diterima di sekolah ini
Di Kelas
Pada tanggal
12. Nama Orang Tua
a. Ayah
b. Ibu
13. Alamat Orang Tua
Telp./HP.
14. Pekerjaan Orang Tua
a. Ayah
b. Ibu
15. Nama Wali
16. Alamat Wali
Telepon
17. Pekerjaan Wali
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KETERANGAN TENTANG DIRI PESERTA DIDIK
..............................,.........................20....... Kepala Sekolah
______________________________ NIP.
Pas Foto3 x 4
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
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Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
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: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Nilai
NilaiKepribadian
Mengetahui :Orang Tua/Wali
( ............................... )
NIP.
Wali Kelas
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
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.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
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: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Nilai
NilaiKepribadian
Mengetahui :Orang Tua/Wali
( ............................... )
NIP.
Wali Kelas
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
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.........
...............................
...............................
...............................
...............................
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..........................................
..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
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: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Nilai
NilaiKepribadian Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
Mengetahui :Orang Tua/Wali
( ............................... )
NIP.
Wali Kelas
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
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Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
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: ...................
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Nilai
NilaiKepribadian Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
Mengetahui :Orang Tua/Wali
( ............................... )
NIP.
Wali Kelas
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
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.........
.........
.........
...............................
...............................
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...............................
..........................................
..........................................
..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
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: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Nilai
NilaiKepribadian Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
Mengetahui :Orang Tua/Wali
( ............................... )
NIP.
Wali Kelas
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
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..........................................
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..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
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..........................................
..........................................
..........................................
..........................................
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Nilai
NilaiKepribadian Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
Mengetahui :Orang Tua/Wali
( ............................... )
NIP.
Wali Kelas
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
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.........
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.........
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...............................
...............................
..........................................
..........................................
..........................................
..........................................
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Nilai
NilaiKepribadian Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
Mengetahui :Orang Tua/Wali
( ............................... )
NIP.
Wali Kelas
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Nilai
NilaiKepribadian Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
Mengetahui :Orang Tua/Wali
( ............................... )
NIP.
Wali Kelas
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
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.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
: ....................................................
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: ...................
: ...................
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Nilai
NilaiKepribadian Ketidak Hadiran
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: ............ hari: ............ hari
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NIP.
Wali Kelas
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
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..............................
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.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
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Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
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( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
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..............................
..............................
..............................
..............................
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..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
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...............................
...............................
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..........................................
..........................................
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Nilai
NilaiKepribadian Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
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( ............................... )
NIP.
Wali Kelas
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
: .............. ( ............................................................................................ )
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: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Nilai
NilaiKepribadian
Mengetahui :Orang Tua/Wali
( ............................... )
NIP.
Wali Kelas
Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Nilai
NilaiKepribadian
Mengetahui :Orang Tua/Wali
( ............................... )
NIP.
Wali Kelas
Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Nilai
NilaiKepribadian Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
Mengetahui :Orang Tua/Wali
( ............................... )
NIP.
Wali Kelas
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai1.
2.
3.
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
No
1.
2.
3
4.
5.
6.
7.
8.
9.
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
Sikap
Kerajinan
Kebersihan
( ....................................... )
Jenis Pengembangan Diri Catatan
Kelas
Semester ke
Tahun Pelajaran
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mata Pelajaran KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
..............................
..............................
..............................
..............................
..............................
..............................
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
.........
.........
.........
.........
.........
.........
.........
.........
...............................
...............................
...............................
...............................
..........................................
..........................................
..........................................
..........................................
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Nilai
NilaiKepribadian Ketidak Hadiran
1. Izin2. Sakit3. Tanpa Keterangan
: ............ hari: ............ hari
: ............ hari
Mengetahui :Orang Tua/Wali
( ............................... )
NIP.
Wali Kelas
KeputusanBersarkan hasil yang dicapai padaSemester 1 dan 2 peserta didik ditetapkanNaik Kelas .........( ...............................)tinggal dikelas ........( .............................. ).......................................................... 20 ....Kepala SD : ................................................
....................................................................
.........................................................NIP
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
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Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai
K E L U A R
Tanggal Kelas yangditinggalkan
Sebab - Sebab KeluarTanda tangan Kepala Sekolah
Stempel Sekolah dan Tanda TanganOrang Tua / Wali
..................................................Kepala Sekolah
..................................................NIP.
Orang Tua / Wali
..................................................
..................................................Kepala Sekolah
..................................................NIP.
Orang Tua / Wali
..................................................
..................................................Kepala Sekolah
..................................................NIP.
Orang Tua / Wali
..................................................
Nama peserta didik :
KETERANGAN PINDAH SEKOLAH
Nama Peserta Didik
No Induk
Nama Sekolah
Alamat
Kelas
Semester ke
Tahun Pelajaran
Mata PelajaranNo KKM*)Angka Huruf
Nilai Deskripsi Kemajuan Belajar
1. Pendidikan Agama
a. Qur’an-Hadits
b. Fiqih
c. Aqidah Akhlak
d. Sejarah Kebudayaan Islam
e. Praktek Ibadah
Pendidikan Kewarganegaraan2.
3
4.
5.
6.
7.
8.
9.
Bahasa Indonesia
Matematika
Ilmu Pengetahuan Alam
Ilmu Pengetahuan Sosial
Seni Budaya dan Keterampilan
Pendidikan Jasmani, Olahragadan Kesehatan
Muatan Lokal **)
a. Bahasa Arab
b. Pengajian Al-Qur’an
c. ..............................................
d. .............................................
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
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..........................................
..........................................
Jumlah Nilai Prestasi Belajar
Nilai rata-rata
Kegiatan Pengembangan Diri
: .............. ( ............................................................................................ )
: .............. ( ............................................................................................ )
NilaiKepribadian
Sikap
Kerajinan
Kebersihan
Ketidak Hadiran
1. Izin
2. Sakit
3. Tanpa Keterangan
: ............ hari
: ............ hari
: ............ hari
: ....................................................
: ....................................................
: ....................................................
: .........................................................................................................
: ...................
: ...................
: ...................
Mengetahui :Orang Tua/Wali
( ....................................... )
.............................................................. 20 .......Wali Kelas
( .................................... ... )
NIP.
1.
2.
3.
Jenis Pengembangan Diri CatatanNilai
K E L U A R
Tanggal Kelas yangditinggalkan
Sebab - Sebab KeluarTanda tangan Kepala Sekolah
Stempel Sekolah dan Tanda TanganOrang Tua / Wali
..................................................Kepala Sekolah
..................................................NIP.
Orang Tua / Wali
..................................................
..................................................Kepala Sekolah
..................................................NIP.
Orang Tua / Wali
..................................................
..................................................Kepala Sekolah
..................................................NIP.
Orang Tua / Wali
..................................................
Nama peserta didik :
KETERANGAN PINDAH SEKOLAH
NO
Nomor Induk
Nama Sekolah
Masuk di Sekolah Ini
a. Tanggal
b. Di Kelas
Tahun Pelajaran
1.
2.
3.
5.
Kepala Sekolah
NIP.
Kepala Sekolah
NIP.
Kepala Sekolah
NIP.
M A S U K
Nomor Induk
Nama Sekolah
Masuk di Sekolah Ini
a. Tanggal
b. Di Kelas
Tahun Pelajaran
1.
2.
3.
5.
Nomor Induk
Nama Sekolah
Masuk di Sekolah Ini
a. Tanggal
b. Di Kelas
Tahun Pelajaran
1.
2.
3.
5.
Nama peserta didik :
KETERANGAN PINDAH SEKOLAH
K E L U A R
Tanggal Kelas yangditinggalkan
Sebab - Sebab KeluarTanda tangan Kepala Sekolah
Stempel Sekolah dan Tanda TanganOrang Tua / Wali
..................................................Kepala Sekolah
..................................................NIP.
Orang Tua / Wali
..................................................
..................................................Kepala Sekolah
..................................................NIP.
Orang Tua / Wali
..................................................
..................................................Kepala Sekolah
..................................................NIP.
Orang Tua / Wali
..................................................
Nama peserta didik :
KETERANGAN PINDAH SEKOLAH
NO
Nomor Induk
Nama Sekolah
Masuk di Sekolah Ini
a. Tanggal
b. Di Kelas
Tahun Pelajaran
1.
2.
3.
5.
Kepala Sekolah
NIP.
Kepala Sekolah
NIP.
Kepala Sekolah
NIP.
M A S U K
Nomor Induk
Nama Sekolah
Masuk di Sekolah Ini
a. Tanggal
b. Di Kelas
Tahun Pelajaran
1.
2.
3.
5.
Nomor Induk
Nama Sekolah
Masuk di Sekolah Ini
a. Tanggal
b. Di Kelas
Tahun Pelajaran
1.
2.
3.
5.
Nama peserta didik :
KETERANGAN PINDAH SEKOLAH
K E L U A R
Tanggal Kelas yangditinggalkan
Sebab - Sebab KeluarTanda tangan Kepala Sekolah
Stempel Sekolah dan Tanda TanganOrang Tua / Wali
..................................................Kepala Sekolah
..................................................NIP.
Orang Tua / Wali
..................................................
..................................................Kepala Sekolah
..................................................NIP.
Orang Tua / Wali
..................................................
..................................................Kepala Sekolah
..................................................NIP.
Orang Tua / Wali
..................................................
Nama peserta didik :
KETERANGAN PINDAH SEKOLAH
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
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3. Lain-lain
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
NO
Nomor Induk
Nama Sekolah
Masuk di Sekolah Ini
a. Tanggal
b. Di Kelas
Tahun Pelajaran
1.
2.
3.
5.
Kepala Sekolah
NIP.
Kepala Sekolah
NIP.
Kepala Sekolah
NIP.
M A S U K
Nomor Induk
Nama Sekolah
Masuk di Sekolah Ini
a. Tanggal
b. Di Kelas
Tahun Pelajaran
1.
2.
3.
5.
Nomor Induk
Nama Sekolah
Masuk di Sekolah Ini
a. Tanggal
b. Di Kelas
Tahun Pelajaran
1.
2.
3.
5.
Nama peserta didik :
KETERANGAN PINDAH SEKOLAH
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
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3. Lain-lain
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
NO
Nomor Induk
Nama Sekolah
Masuk di Sekolah Ini
a. Tanggal
b. Di Kelas
Tahun Pelajaran
1.
2.
3.
5.
Kepala Sekolah
NIP.
Kepala Sekolah
NIP.
Kepala Sekolah
NIP.
M A S U K
Nomor Induk
Nama Sekolah
Masuk di Sekolah Ini
a. Tanggal
b. Di Kelas
Tahun Pelajaran
1.
2.
3.
5.
Nomor Induk
Nama Sekolah
Masuk di Sekolah Ini
a. Tanggal
b. Di Kelas
Tahun Pelajaran
1.
2.
3.
5.
Nama peserta didik :
KETERANGAN PINDAH SEKOLAH
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
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3. Lain-lain
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
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3. Lain-lain
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
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3. Lain-lain
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
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3. Lain-lain
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
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3. Lain-lain
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
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3. Lain-lain
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
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3. Lain-lain
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
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3. Lain-lain
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
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No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
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3. Lain-lain
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....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
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3. Lain-lain
....................................................................
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....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
3. Lain-lain
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
3. Lain-lain
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
3. Lain-lain
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
3. Lain-lain
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
3. Lain-lain
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
:
1. Kurikuler ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
2. Extra Kurikuler
4. Catatan Khusus lainnya
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
3. Lain-lain
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
....................................................................
No.
Nama Peserta Didik
Nomor Induk
Nama Sekolah
Alamat :
:
:
:
Prestasi yang Pernah DicapaiBukti Sertifikat, Piagam, Tropy
yang diperoleh
Kelas
Semester ke
Tahun Pelajaran
:
:
: