LEMBAR HASIL KUNJUNGAN PEMBINAAN

Hari/Tanggal

Dari pukul s.d. pukul :

Nama Sekolah

Tujuan Kunjungan

Catatan Hasil Kunjungan :

Kesan/Harapan kepada pengawas:

Guru: ............................................................................................................................................
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Kepala Sekolah:
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Cianjur,
Kepala SMK ....

Pengawas,

Dr. Ir. Dede Sunaryat, M.Pd.

NIP.

NIP. 196407131987031006

DAFTAR HADIR PEMBINAAN

Hari/Tanggal :
Nama Sekolah :
Waktu

No.

Nama

Jabatan/Mengajar Mata
Pelajaran

Tanda-tangan

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

................................., ........................... 2014

Pengawas Pembina,

Kepala Sekolah,

Dede Sunaryat

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NIP. 196407131987031006

NIP. ............................