Bulan
: JANUARI Tahun 2013
Nama
Madrasah : MIS BAHRUL ULUM.
Alamat Madrasah :
Jln Raya Mojosari-Trawas Desa Purworejo.
Kecamatan : Pungging .Mojokerto
A.
KEADAAN MADRASAH MIS BAHRUL ULUM.
1.
NSM :................................................................................
2.
NPSN :................................................................................
3.
Madrasah berdiri
tahun :................................................................................
4.
Banyaknya lokal :................................................................................
5.
Nama Yayasan :................................................................................
6.
Ketua Yayasan :................................................................................
7.
Kepala Madrasah :................................................................................
8.
Bendahara Bos :................................................................................
9.
Waktu Penyelenggaraan :................................................................................
B.
KEADAAN MURID
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Keadaan
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1
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2
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3
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4
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5
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6
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Jumlah
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L
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P
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L
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P
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L
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P
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L
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P
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L
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P
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L
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P
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L
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P
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Awal bln
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Murid Keluar
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Murid masuk
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Akhir bln
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Catatan: Nama Murid
di lampirkan
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*Madrasah Aliyah dan Madrasah Tsanawiyah
Format menyesuaikan
C.
KEADAAN GURU
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Jumlah Guru
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PNS
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Non PNS
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Sertifikasi
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Catatan: Nama Guru di lampirkan
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D.
Banyaknya Ruangan
a.
Ruang belajar :......................Lokal,
Baik........... RR.............. RB..............
b.
Ruang Kantor :......................Lokal,
Baik........... RR.............. RB..............
c.
Ruang Lain :
1.
Perpustakaan :......................Lokal,
Baik........... RR.............. RB..............
2.
Lab........................... :......................Lokal,
Baik........... RR.............. RB..............
3.
*................................ :......................Lokal,
Baik........... RR.............. RB..............
E.
Jumlah Sarana
Madrasah
1.
Meja Kursi Murid :
....................Buah, Baik........... RR.............. RB..............
2.
Meja Kursi Guru :
....................Buah, Baik........... RR.............. RB..............
3.
Lemari Besar Kecil : ....................Buah,
Baik........... RR.............. RB..............
4.
Papan :
....................Buah, Baik........... RR.............. RB..............
5.
Alat Peraga :
....................Buah, Baik........... RR..............
RB..............
6.
Dll * : ....................Buah,
Baik........... RR.............. RB..............
Mojokerto,..............................
MEGETAHUI KOMITE KEPALA
MADRASAH......................
___________________________ __________________________
* Tambah berdasarkan keadaaan yang ada di
madrasah.
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