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format Berita Acara Verifikasi TUK

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BERITA ACARA
VERIFIKASI TEMPAT UJI KOMPETENSI
Pada hari ini .............. tanggal .............................. bulan ........................ tahun dua ribu sembilan
belas di SMK .....................................................................:
a.
Telah dilaksanakan verifikasi calon Tempat Uji Kompetensi untuk pelaksanaan Uji
Kompetensi,
Kompetensi/Paket Keahlian : ......................................................................................................
Paket Ujian
: ......................................................................................................
Rencana Pelaksanaan
: ........................................... s.d. .................................................
Rekomendasi
: Sangat layak/layak/belum layak*
Sebagai penyelenggara Uji Kompetensi Keahlian
b.
Catatan selama pelaksanaan verifikasi
.....................................................................................................................................................................
.....................................................................................................................................................................
.....................................................................................................................................................................
.....................................................................................................................................................................
.....................................................................................................................................................................
Berita acara ini dibuat sesungguhnya dengan instrumen verifikasi terlampir.
Yang melakukan verifikasi
Perwakilan Verifikator
(...........................................................)
NIP..........................................................
*coret yang tidak perlu
Perwakilan Tempat Uji Kompetensi
......................................................................
(...........................................................)
NIP..........................................................
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