BAHAN YANG DINILAI
Sesuai dengan Surat Pernyataan, Surat Keputusan Kepala Sekolah dan lainlain terlampir
Bondowoso, tanggal 14 Pebruari 2012 Kepala Sekolah Menengah Atas Negeri Grujugan ......................................................................
Drs.BAMBANG SUBIANTORO NIP 19620301 198703 1 015
PENDAPAT TIM PENILAI .........................................................................................................
.................................... tanggal ...................... Ketua Tim Penilai ......................................... ........................................................................
NIP.
PERSETUJUAN .............................................................................................................................
.................................... tanggal ...................... .............................. ......................................... ........................................................................
NIP.