BIODATA PRNGAWAS

BIODATA PENGAWAS

(Untuk Aplikasi Tunjangan Profesi 2014)

1.       N  U  P  T  K                                    : ........................................................................

2.       N  A  M  A                                      : ........................................................................

3.       N   I   P                                             : ........................................................................

4.       TEMPAT/TGL. LAHIR                 : ........................................................................

5.       PANGKAT/GOL                           : ........................................................................

6.       MASA KERJA GOL                      : ............TAHUN,   ..............BULAN

7.       GAJI POKOK                                 : Rp. ...........................

8.       TEMPAT TUGAS                          : ........................................................................

9.       BIDANG STUDI SERTIFIKASI   : ........................................................................

10.   ALAMAT

-          JALAN                                     : ........................................................................

-          DESA/KELURAHAN            : ........................................................................

-          KECAMATAN

-          TELP.                                       : ........................................................................

-          E-MAIL                                   : ........................................................................

11.   JENIS KEPENGAWASAN          :        PENGAWAS SEKOLAH                PENGAWAS MATA PELAJARAN

12.   JUMLAH SEKOLAH DIAWASI :

NO.	NAMA SEKOLAH	JENJANG	KETERANGAN
	SMPN 1 Tanjab Tim SMPN 8 Tanjab Tim SMPN 11 Tanjab Tim SMPN 13 Tanjab Tim SMPN 12 Tanjab Tim SMPN Satap 1 Tanjab Tim SMKN 6 Tanjabtimur SMAS LPM Lambur Luar SMPN Satap 4 Tanjab Tim SMAN 2 Tanjab Tim

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                                                                                                                NIP.