Page 2 - buku panduan PKL1
P. 2

IDENTITAS

                      1.  Peserta PKL

                         Nama Siswa           :  ....................................................................................................
                         Alamat rumah         :  ....................................................................................................

                                                  ....................................................................................................
                         No. Telepon/HP       :  ....................................................................................................

                         Periode/Waktu PKL    : .....................................................................................................


                      2.  Peserta PKL
                         Nama Siswa           :  ....................................................................................................

                         Alamat rumah         :  ....................................................................................................
                                                  ....................................................................................................

                         No. Telepon/HP       :  ....................................................................................................
                         Periode/Waktu PKL    : .....................................................................................................


                      3.  Peserta PKL

                         Nama Siswa           :  ....................................................................................................
                         Alamat rumah         :  ....................................................................................................

                                                  ....................................................................................................
                         No. Telepon/HP       :  ....................................................................................................

                         Periode/Waktu PKL    : .....................................................................................................


                      4.  Peserta PKL
                         Nama Siswa           :  ....................................................................................................

                         Alamat rumah         :  ....................................................................................................

                                                  ....................................................................................................
                         No. Telepon/HP       :  ....................................................................................................
                         Periode/Waktu PKL    : .....................................................................................................



                      5.  Peserta PKL
                         Nama Siswa           :  ....................................................................................................
                         Alamat rumah         :  ....................................................................................................

                                                  ....................................................................................................

                         No. Telepon/HP       :  ....................................................................................................
                         Periode/Waktu PKL    : .....................................................................................................
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