Contoh formulir registrasi penerima sertifikasi bagi guru pai tahun 2016 - Berikut kami bagikan pola formatnya, bagi yang membutuhkan dapat mengunduhnya melalui link dibawah.
1. Nomor Peserta :........................................................................................
2. Nama Lengkap :........................................................................................
3. NUPTK :........................................................................................
4. Pola Sertifikasi :........................................................................................
5. Bidang Studi Sertifikasi :........................................................................................
6. NIP :........................................................................................
7. Pangkat/Golongan :.........................................................................................
8. Masa Kerja Sebagai Guru :.................Tahun...............Bulan ..................................
9. Jenis Kelamin :........................................................................................
10. Tempat Tanggal Lahir :........................................................................................
11. Pendidikan Terakhir :........................................................................................
Nama Perguruan Tinggi :........................................................................................
Tahun Lulus :........................................................................................
12. Jenjang Pendidikan Tempat Tugas :........................................................................................
13. Mata Pelajaran :.........................................................................................
14. Beban Kerja :......................Jam Perminggu.........................................
15. Tugas Tambahan :.........................................................................................
16. Masa Kerja Sebaga Pengawas :.........................................................................................
17. Sekolah Tempat Tugas
a. Nama :.........................................................................................
b. Alamat :.........................................................................................
c. Kecamatan :.........................................................................................
d. Kabupaten Kota :..........................................................................................
e. NPSN :...........................................................................................
| Mengetahui Kasi PAIS Kab. Garut Rd. Ahmad Hibban (Bey), S.Pd.I Nip. 196403021993031004 | Mengetahui/Menyetujui Kepala Sekolah ........................................... | Guru/ Calon Peserta ........................................... |
Selamat tiba di Guruprofe.blogspot.com Untuk formulir dalam bentuk dokumen word dapat anda unduh disini
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