BUKU PENYERAHAN IJAZAH
Tahun Pelajaran : …………/…………..
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Nomor |
Nama Murid |
Nomor Ujian |
Nomor Ijazah |
Diserahkan Tanggal |
Tanda Tangan Penerima |
Keterangan |
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Urut |
Induk |
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…………….., ……………… 20 ……
Kepala Sekolah
..........................................
NIP.
