Translation of the Original version
MINISTERY OF EDUCATION AND CULTURE REPUBLIC OF INDONESIA
D I P L O M A
SENIOR HIGH SCHOOL
SPECIALIZATION OF MATHEMATICAL AND NATURE SCIENCE YEAR OF STUDY 2016/2017
The undersigned, Headmaster of ...
...
National Principal Number of School ...
Region/ City ...
Province ..., explained that:
Name : ...
Place and date of birth : ...
Name of parents/ guardian : ...
Student Identity Number : ...
National Student Identity Number : ...
Number of National Exam participant :...
School organizer of the School
Exam : ...
School organizer of the National
Exam : ...
HAS BEEN GRADUATED
from high school after fulfilling all the criteria in accordance with the law and regulations.
...,...2017 Headmaster,
NIP ...
Pas foto
Translation of the Original version
SCORE LIST
SENIOR HIGH SCHOOL
SPECIALIZATION OF MATHEMATICAL AND NATURE SCIENCE YEAR OF STUDY 2016/2017
Name : ...
Place and date of birth : ...
Student Identity Number : ...
National Student Identity Number : ...
No. Subject
(Curriculum 2013)
Average Score of Exam
Score of School Exam Group A
1. Education of Religion and Character 2. Education of Pancasila and Citizenship 3. Indonesian language
4. Mathematic
5. History of Indonesia 6. English
Group B
1. Art and Culture
2. Education of Physical, Sports, and Health 3. Workshop and Entrepreneurship
4. Local Content a.
b.
c.
Group C
1. Mathematic 2. Biology 3. Physics 4. Chemistry
5. Selection of Cross-interest / Interest Deepening
………...
………...
Average
...,...2017 Headmaster,
NIP ...
Translation of the Original version
MINISTERY OF EDUCATION AND CULTURE
REPUBLIC OF INDONESIA
D I P L O M A
SENIOR HIGH SCHOOL
STUDY PROGRAM OF NATURE SCIENCE YEAR OF STUDY 2016/2017
The undersigned, Headmaster of ...
...
National Principal Number of School ...
Region/ City ...
Province ..., explained that:
Name : ...
Place and date of birth : ...
Name of parents/ guardian : ...
Student Identity Number : ...
National Student Identity Number : ...
Number of National Exam participant :...
School organizer of the School
Exam : ...
School organizer of the National
Exam : ...
HAS BEEN GRADUATED
from high school after fulfilling all the criteria in accordance with the law and regulations.
...,...2017 Headmaster,
NIP ...
Pas foto
Translation of the Original version
SCORE LIST
SENIOR HIGH SCHOOL
STUDY PROGRAM OF NATURE SCIENCE YEAR OF STUDY 2016/2017
Name : ...
Place and date of birth : ...
Student Identity Number : ...
National Student Identity Number : ...
No. Subject
(Curriculum 2006)
Average Score of Exam
Score of School Exam Group A
1. Education of Religion 2. Education of Citizenship 3. Indonesian language 4. English
5. Mathematics 6. Physics 7. Chemistry 8. Biology 9. History
10. Art and Culture
11. Education of Physical, Sports, and Health 12. Technology of Information and Communication 13. Skills / Foreign Language
………..
14. Local Content a.
b.
c.
Average
...,...2017 Headmaster,
NIP ...
