This document contains a biodata form for participants of a teacher journal for professional development activities (PTK) or action research (PTS). The form collects the participant's name, ID number, date and place of birth, phone number, email, address, place of work, and last position held. It also includes tables to list the PTK or PTS reports the participant wants to submit, including the school year, class/semester, subject, name of the school, and name and ID of the school principal. The participant and date are listed at the bottom.
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Formulir ptk dan jurnal
1. BIODATA PESERTA JURNAL PTK/ PTS
NAMA :____________________________________________
NIP :____________________________________________
TEMPAT/ TGL LAHIR :____________________________________________
NO. HP :____________________________________________
E-MAIL :____________________________________________
ALAMAT :____________________________________________
INSTANSI TUGAS :____________________________________________
JABATAN TERAKHIR :____________________________________________
LAPORAN PTK YANG INGIN DIBUAT
No
Tahun
Pelajaran
Kelas/
Semester
Mata
Pelajaran
Nama Sekolah
Nama Kepsek dan
NIP
1
2
3
LAPORAN PTS YANG INGIN DIBUAT
No
Tahun
Pelajaran
Tempat
Penelitian
Sekolah Binaan Nama Pengawas/ NIP
1
2
3
........................................2018
Peserta
............................................
NIP. ....................................