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Lampiran 2 :
SISWA
SESUAI
DENGAN
JENIS
Diizinkan :
Meninggalkan
sekolah
pada
jam
ke
: .........................................
...........
Kembali
pada
jam
ke
: .........................................
............
Nama
: .........................................................................................
........................................
Kelas
: .........................................................................................
........................................
Alamat
: .........................................................................................
........................................
Alasan
: .........................................................................................
........................................
Dengan
Sepeda
Motor
Nomor
Polisi : ..................................................................................................
Toraja
Utara, .................................................2016
Guru Piket
..........................................................
NIP :
........................................................................................................................
..............................................................
SURAT IZIN MENINGGALKAN SEKOLAH
SMK KR. HARAPAN RANTEPAO
Jl. Limbong Lr. I No. 01 Telp. 0423-21762 Email : harapansmk@yahoo.com Website :
www.smkkrharapanrantepao.sch.id
Diizinkan :
Meninggalkan sekolah pada jam ke
: ......................
: ......................
Nama
: .........................................................................................
........................................
Kelas
: .........................................................................................
........................................
Alamat
: .........................................................................................
........................................
Alasan
: .........................................................................................
........................................
Dengan
Sepeda
Motor
Nomor
Polisi : ..................................................................................................
Toraja
Utara, .................................................2016
Guru Piket
..........................................................
NIP :