Sma Negeri 1 Banjarsari: Lembar Disposisi

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PEMERINTAH DAERAH PROVINSI JAWA BARAT

DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMA NEGERI 1 BANJARSARI
Jalan Raya KM.3 Banjarsari, Ratawangi, Kecamatan Banjarsari
Telp.(0265) 650015, Email : [email protected]
CIAMIS - 46383

LEMBAR DISPOSISI

Surat dari : .......................................................... Diterima Tgl. : ........................................................


........................................................... No. Agenda : ........................................................
No. Surat : .......................................................... Sifat :
Tgl. Surat : .......................................................... Sangat segera Segera Rahasia

Perihal :

Diteruskan kepada Sdr. : Dengan hormat harap :


.......................................................... ..........................................................
.......................................................... ..........................................................
.......................................................... ..........................................................
.......................................................... ..........................................................
Dan seterusnya ................................. ..........................................................

Catatan : .....................................................

......................................................
NIP.

PEMERINTAH DAERAH PROVINSI JAWA BARAT


DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMA NEGERI 1 BANJARSARI
Jalan Raya KM.3 Banjarsari, Ratawangi, Kecamatan Banjarsari,
Telp.(0265) 650015, Email : [email protected]
CIAMIS - 46383

LEMBAR DISPOSISI

Surat dari : .......................................................... Diterima Tgl. : ........................................................


........................................................... No. Agenda : ........................................................
No. Surat : .......................................................... Sifat :
Tgl. Surat : .......................................................... Sangat segera Segera Rahasia

Perihal :

Diteruskan kepada Sdr. : Dengan hormat harap :


.......................................................... ..........................................................
.......................................................... ..........................................................
.......................................................... ..........................................................
.......................................................... ..........................................................
Dan seterusnya ................................. ..........................................................

Catatan : ......................................................

........................................................
NIP.

PEMERINTAH DAERAH PROVINSI JAWA BARAT


DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMA NEGERI 1 BANJARSARI
Jalan Raya KM.3 Banjarsari, Ratawangi, Kecamatan Banjarsari
Telp.(0265) 650015, Email : [email protected]
CIAMIS - 46383

LEMBAR DISPOSISI

Surat dari : .......................................................... Diterima Tgl. : ........................................................


........................................................... No. Agenda : ........................................................
No. Surat : .......................................................... Sifat :
Tgl. Surat : .......................................................... Sangat segera Segera Rahasia

Perihal :

Diteruskan kepada Sdr. : Dengan hormat harap :


.......................................................... ..........................................................
.......................................................... ..........................................................
.......................................................... ..........................................................
.......................................................... ..........................................................
Dan seterusnya ................................. ..........................................................

Catatan : .....................................................

Drs. H. MOCHAMAD SOLEHUDIN, M.Pd.


NIP. 19640101 198902 1 004

PEMERINTAH DAERAH PROVINSI JAWA BARAT


DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMA NEGERI 1 BANJARSARI
Jalan Raya KM.3 Banjarsari, Ratawangi, Kecamatan Banjarsari,
Telp.(0265) 650015, Email : [email protected]
CIAMIS - 46383

LEMBAR DISPOSISI

Surat dari : .......................................................... Diterima Tgl. : ........................................................


........................................................... No. Agenda : ........................................................
No. Surat : .......................................................... Sifat :
Tgl. Surat : .......................................................... Sangat segera Segera Rahasia
Perihal :

Diteruskan kepada Sdr. : Dengan hormat harap :


.......................................................... ..........................................................
.......................................................... ..........................................................
.......................................................... ..........................................................
.......................................................... ..........................................................
Dan seterusnya ................................. ..........................................................

Catatan : ......................................................

Drs. H. MOCHAMAD SOLEHUDIN, M.Pd.


NIP. 19640101 198902 1 004
PEMERINTAH DAERAH PROVINSI JAWA BARAT
DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMA NEGERI 1 BANJARSARI
Jalan Raya KM.3 Banjarsari, Desa Ratawangi, Kecamatan Banjarsari
Telp. 0265 650015 Email : [email protected]
CIAMIS - 46383

LEMBAR DISPOSISI

Surat dari : ..................................................... Diterima : ....................................................


Tgl. : ....................................................
No. Surat : ..................................................... No. Agenda :
Tgl. Surat : ..................................................... Sifat :
Sangat segera Segera Rahasia

Perihal :

Diteruskan kepada Sdr. : Dengan hormat harap :


.................................................................. Tanggapan dan Saran
.................................................................. Proses lebih lanjut
.................................................................. Koordinasi/konfirmasikan
.................................................................. ...............................................................................
Dan seterusnya ........................................ ...............................................................................

Catatan : Kepala Sekolah,

Drs. H. MOCHAMAD SOLEHUDIN, M.Pd.


NIP.

PEMERINTAH DAERAH PROVINSI JAWA BARAT


DINAS PENDIDIKAN
CABANG DINAS PENDIDIKAN WILAYAH XIII
SMA NEGERI 1 BANJARSARI
Jalan Raya KM.3 Banjarsari, Desa Ratawangi, Kecamatan Banjarsari
Telp. 0265 650015 Email : [email protected]
CIAMIS - 46383

LEMBAR DISPOSISI

Surat dari : .......................................................... Diterima Tgl. : ........................................................


........................................................... No. Agenda : ........................................................
No. Surat : .......................................................... Sifat :
Tgl. Surat : .......................................................... Sangat segera Segera Rahasia

Perihal :

Diteruskan kepada Sdr. : Dengan hormat harap :


.......................................................... Tanggapan dan Saran
.......................................................... Proses lebih lanjut
.......................................................... Koordinasi/konfirmasikan
.......................................................... ..........................................................
Dan seterusnya ................................. ..........................................................

Catatan : Kepala Sekolah,

Drs. H. MOCHAMAD SOLEHUDIN, M.Pd.


NIP.

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