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PEMERINTAH KABUPATEN DELI SERDANGDINAS PENDIDIKAN, PEMUDA DAN OLAHRAGA SEKOLAH MENENGAH KEJURUAN NEGERI 1 BERINGINJalan Pendidikan No. 3 Kecamatan Beringin 20552Email : [email protected]
NO. FORMULIR: KOMPETENSI KEAHLIAN: TEKNIK KOMPUTER & JARINGAN
A. DATA PRIBADI CALON SISWA
1. Nama Lengkap: .......................................................................................................................2. Jenis Kelamin: .......................................................................................................................3. Tempat dan Tanggal Lahir: .......................................................................................................................4. Agama: .......................................................................................................................5. Alamat: .......................................................................................................................
B. DATA ORANG TUA / WALI
1. Nama Orang Tua / Wali: ..............................................................................................................2. Alamat: ..............................................................................................................3. Pekerjaan: ..............................................................................................................4. No. Telp / Hp: ..............................................................................................................
C. ASAL SEKOLAH
1. Nama Sekolah: ..............................................................................................................2. Status: ..............................................................................................................3. Alamat Sekolah: ..............................................................................................................
D. NOMOR SKHUN ( Ditulis Jelas ): ..............................................................................................................
E. NILAI UJIAN NASIONAL ( SKHUN ) = Nilai Akhir
NO.MATA PELAJARANNILAI(X) BOBOT NILAIJUMLAH
1.Bahasa IndonesiaX 2
2.Bahasa InggrisX 3
3.MatematikaX 4
4.Ilmu Pengetahuan AlamX 3
Jumlah
Beringin, Juni 2015Mengetahui/ Menyetujui,Calon SiswaOrang tua/ Wali
__________________________________________________Nama JelasNama JelasPEMERINTAH KABUPATEN DELI SERDANGDINAS PENDIDIKAN, PEMUDA DAN OLAHRAGA SEKOLAH MENENGAH KEJURUAN NEGERI 1 BERINGINJalan Pendidikan No. 3 Kecamatan Beringin 20552Email : [email protected]
NO. FORMULIR: KOMPETENSI KEAHLIAN: REKAYASA PERANGKAT LUNAK
A. DATA PRIBADI CALON SISWA
1. Nama Lengkap: .......................................................................................................................2. Jenis Kelamin: .......................................................................................................................3. Tempat dan Tanggal Lahir: .......................................................................................................................4. Agama: .......................................................................................................................5. Alamat: .......................................................................................................................
B. DATA ORANG TUA / WALI
1. Nama Orang Tua / Wali: ..............................................................................................................2. Alamat: ..............................................................................................................3. Pekerjaan: ..............................................................................................................4. No. Telp / Hp: ..............................................................................................................
C. ASAL SEKOLAH
1. Nama Sekolah: ..............................................................................................................2. Status: ..............................................................................................................3. Alamat Sekolah: ..............................................................................................................
D. NOMOR SKHUN ( Ditulis Jelas ): ..............................................................................................................
E. NILAI UJIAN NASIONAL ( SKHUN ) = Nilai Akhir
NO.MATA PELAJARANNILAI(X) BOBOT NILAIJUMLAH
1.Bahasa IndonesiaX 2
2.Bahasa InggrisX 3
3.MatematikaX 4
4.Ilmu Pengetahuan AlamX 3
Jumlah
Beringin, Juni 2015Mengetahui/ Menyetujui,Calon SiswaOrang tua/ Wali
__________________________________________________Nama JelasNama JelasPEMERINTAH KABUPATEN DELI SERDANGDINAS PENDIDIKAN, PEMUDA DAN OLAHRAGA SEKOLAH MENENGAH KEJURUAN NEGERI 1 BERINGINJalan Pendidikan No. 3 Kecamatan Beringin 20552Email : [email protected]
NO. FORMULIR: KOMPETENSI KEAHLIAN: KECANTIKAN KULIT
A. DATA PRIBADI CALON SISWA
1. Nama Lengkap: .......................................................................................................................2. Jenis Kelamin: .......................................................................................................................3. Tempat dan Tanggal Lahir: .......................................................................................................................4. Agama: .......................................................................................................................5. Alamat: .......................................................................................................................
B. DATA ORANG TUA / WALI
1. Nama Orang Tua / Wali: ..............................................................................................................2. Alamat: ..............................................................................................................3. Pekerjaan: ..............................................................................................................4. No. Telp / Hp: ..............................................................................................................
C. ASAL SEKOLAH
1. Nama Sekolah: ..............................................................................................................2. Status: ..............................................................................................................3. Alamat Sekolah: ..............................................................................................................
D. NOMOR SKHUN ( Ditulis Jelas ): ..............................................................................................................
E. NILAI UJIAN NASIONAL ( SKHUN ) = Nilai Akhir
NO.MATA PELAJARANNILAI(X) BOBOT NILAIJUMLAH
1.Bahasa IndonesiaX 2
2.Bahasa InggrisX 3
3.MatematikaX 3
4.Ilmu Pengetahuan AlamX 2
Jumlah
Beringin, Juni 2015Mengetahui/ Menyetujui,Calon SiswaOrang tua/ Wali
__________________________________________________Nama JelasNama JelasPEMERINTAH KABUPATEN DELI SERDANGDINAS PENDIDIKAN, PEMUDA DAN OLAHRAGA SEKOLAH MENENGAH KEJURUAN NEGERI 1 BERINGINJalan Pendidikan No. 3 Kecamatan Beringin 20552Email : [email protected]
NO. FORMULIR: KOMPETENSI KEAHLIAN: AKOMODASI PERHOTELAN
A. DATA PRIBADI CALON SISWA
1. Nama Lengkap: .......................................................................................................................2. Jenis Kelamin: .......................................................................................................................3. Tempat dan Tanggal Lahir: .......................................................................................................................4. Agama: .......................................................................................................................5. Alamat: .......................................................................................................................
B. DATA ORANG TUA / WALI
1. Nama Orang Tua / Wali: ..............................................................................................................2. Alamat: ..............................................................................................................3. Pekerjaan: ..............................................................................................................4. No. Telp / Hp: ..............................................................................................................
C. ASAL SEKOLAH
1. Nama Sekolah: ..............................................................................................................2. Status: ..............................................................................................................3. Alamat Sekolah: ..............................................................................................................
D. NOMOR SKHUN ( Ditulis Jelas ): ..............................................................................................................
E. NILAI UJIAN NASIONAL ( SKHUN ) = Nilai Akhir
NO.MATA PELAJARANNILAI(X) BOBOT NILAIJUMLAH
1.Bahasa IndonesiaX 2
2.Bahasa InggrisX 3
3.MatematikaX 3
4.Ilmu Pengetahuan AlamX 2
Jumlah
Beringin, Juni 2015Mengetahui/ Menyetujui,Calon SiswaOrang tua/ Wali
__________________________________________________Nama JelasNama JelasPEMERINTAH KABUPATEN DELI SERDANGDINAS PENDIDIKAN, PEMUDA DAN OLAHRAGA SEKOLAH MENENGAH KEJURUAN NEGERI 1 BERINGINJalan Pendidikan No. 3 Kecamatan Beringin 20552Email : [email protected]
NO. FORMULIR: KOMPETENSI KEAHLIAN: TATA BUSANA BUTIK
A. DATA PRIBADI CALON SISWA
1. Nama Lengkap: .......................................................................................................................2. Jenis Kelamin: .......................................................................................................................3. Tempat dan Tanggal Lahir: .......................................................................................................................4. Agama: .......................................................................................................................5. Alamat: .......................................................................................................................
B. DATA ORANG TUA / WALI
1. Nama Orang Tua / Wali: ..............................................................................................................2. Alamat: ..............................................................................................................3. Pekerjaan: ..............................................................................................................4. No. Telp / Hp: ..............................................................................................................
C. ASAL SEKOLAH
1. Nama Sekolah: ..............................................................................................................2. Status: ..............................................................................................................3. Alamat Sekolah: ..............................................................................................................
D. NOMOR SKHUN ( Ditulis Jelas ): ..............................................................................................................
E. NILAI UJIAN NASIONAL ( SKHUN ) = Nilai Akhir
NO.MATA PELAJARANNILAI(X) BOBOT NILAIJUMLAH
1.Bahasa IndonesiaX 2
2.Bahasa InggrisX 3
3.MatematikaX 3
4.Ilmu Pengetahuan AlamX 2
Jumlah
Beringin, Juni 2015Mengetahui/ Menyetujui,Calon SiswaOrang tua/ Wali
__________________________________________________Nama JelasNama Jelas
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