2. IDENTITAS GURU WALI KELAS

BIODATA GURU / WALI KELAS
Nama Lengkap

: ..............................................................................................

NIP

: ..............................................................................................

NUPTK

: ..............................................................................................

Tempat Tgl Lahir

: ..............................................................................................

Pendidikan Terakhir...............................................................................................:
Jabatan Guru

: ..............................................................................................

Pangkat / Gol

: ..............................................................................................

Tugas Mengajar Kelas ..........................................................................................:

Nama Sekolah

: ..............................................................................................

Alamat

: ..............................................................................................

Kelurahan

: ..............................................................................................

Kecamatan

: ..............................................................................................

Kab/Kota

: ..............................................................................................

Provinsi

: ..............................................................................................

………………………………………20 …….
Guru Kelas
Foto
3x4
_________________________
NIP : ……………………….………..