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LEMBAGA PENJAMINAN MUTU PENDIDIKAN JAWA JAWA BARAT FORMULIR F – FPMP – TANDA TERIMA ATK PESERTA

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: Pelat Pelatiha ihan n Kui! Kui!ulu ulum m "#1$

Kegiatan %ai %ai / Tangg anggal al  TPK / Kela*

: Sa&t Sa&tu' u' ( )uni )uni "#1 "#14 4 : SDN 1 Su!a+ana/A1 ,Kela* 11 JENIS BARANG

No

Nama

Instansi / Unit Kerja

1.

ARILA% SATLIN

SDN 1 UNTER

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DADAN %ERMA2ADI

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Kab. / Kota

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&D / Mo!" Pe"ati'an

Ka&. 0iami*





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SDN 1 SUKADANA

Ka&. 0iami*

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DADAN SUR2AANDA

SDN " )ATINAARA

Ka&. 0iami*

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

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4.

DAO)A% NASRA%ERISMAN

SDN 1 SUKADANA

Ka&. 0iami*



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



3.

DARSINI%

SDN 1 A2ASARI

Ka&. 0iami*

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DENI PURNAMA

SDN $ SALAKARIA

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



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(.

EA%

SDN 4 0I 0INTANAARA

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5.

EEN KARNESI%

SDN " SUKADANA

Ka&. 0iami*

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

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6.

EMA% %ER2AMA%

SD N 1 DA DA2 EU EU% LU LU %U %UR

Ka& . 0 ia iam i* i*



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1#.

ENDAN PAN0A7ATI PAN0A7ATI

SDN " UNTER

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11.

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SDN 4 A2ASARI

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NANI% NUR%A2ATI

SDN 1 MARA%AR)A

Ka&. 0i 0iami*





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14.

IRMA KOMALA

SDN $ SUKANAARA

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TANDA TANGAN 1.

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

2. ......... .. $.

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

4. ......... .. 3.

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

6. ........ ... (.

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8. ......... .. 6.

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

10. ....... ... 11.

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

12. ....... ... 1$.

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

14. .......

LEMBAGA PENJAMINAN MUTU PENDIDIKAN JAWA BARAT FORMULIR F – FPMP – TANDA TERIMA ATK PESERTA

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 JENIS BARANG No

Nama

Instansi / Unit Kerja

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KARTINI

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Ka&. 0iami*

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1(.

MAR2AMA%

SDN " MARA)A2A

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15.

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SDN " MARA%AR)A

Ka&. 0iami*

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16.

N. SOPIA%

SDN 1 MUL2ASARI

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"#.

N.RATI'S.P+.I

SDN 1 SALAKARIA

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SDN " MUL2ASARI

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SALSI%

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SDN 1 UNTER

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13.

............ 1. ....... ..

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18. ....... .... 16.

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20. ....... .... "1.

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26. ....... .... "(.

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LEMBAGA PENJAMINAN MUTU PENDIDIKAN JAWA BARAT FORMULIR F – FPMP – TANDA TERIMA ATK PESERTA

$/4

 JENIS BARANG No

Nama

Instansi / Unit Kerja

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 TITIN RUSMIATI

SDN 1 SUKANAARA

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$$.

 TOTON

SDN 1 MARA%AR)A

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 2A2A SETIATINA

SDN " )ATINAARA

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$3.

 2A2A% KOMARIA%

SDN 1 0INTANAARA

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SDN $ UNTER

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KAR7AN R

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TANDA TANGAN

32. ....... .... $$.

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

34. ....... .... $3.

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

36. ....... ..... $(.

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38. .......

$5.

....

$6.

$6.

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

40. .......

4#.

....

Panitia'

888888888888888 88 NIP.

LEMBAGA PENJAMINAN MUTU PENDIDIKAN JAWA BARAT FORMULIR F – FPMP – TANDA TERIMA ATK PESERTA

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