DATA IDENTITAS SEKOLAH

1.

Nama Sekolah/Madrasah

2.

Nomor Statistik Sekolah/Madrasah
(NSS/M)
: ________________________________

3. Alamat Sekolah/Madrasah

: ________________________________

: ________________________________

Kecamatan

: ________________________________

Kab/Kota (coret salah satu)

: ________________________________

Provinsi

: ________________________________

Kode Pos

: ________________________________

Telepon dan Faksimil

: ________________________________

E-mail

: ________________________________

5. Status Sekolah/Madrasah

:Negeri

Swasta

6. Nama Yayasan

: ________________________________

7. No Akte Pendirian Terakhir

: ________________________________

8.

Tahun Berdiri Sekolah/Madrasah : ________________________________

9.

Status Akreditasi/Tahun

10. Visi Sekolah/Madrasah

: _______________ /__________
:

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Perangkat Akreditasi SMP/MTs - Hak Cipta © 201 4 BAN-S/M| iv

11. Misi Sekolah/Madrasah:
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