DAFTAR HADIR PESERTA UJI KOMPETENSI AWAL SERTIFIKASI 2012 LPTK IAIN SUNAN AMPEL SURABAYA Hari, Tanggal
: ________________________________________
Waktu
: ___________________________________________
Ruang
: ________________________________________
Mata Pelajaran
: ___________________________________________
Tempat
: ________________________________________
KELAS 25 NO
NOMOR PESERTA
NAMA
MAPEL
Tempat Tugas
TANDA TANGAN
KAB/KOTA
1
12050123820032 MUSLICH
SKI
MI MINU Banat Manyar
GRESIK
1
2
12050123820033 MUSLIM
SKI
MI MI. TARBIYATUL ATHFAL GRESIK
3
12050123820055 MAS'IDAH
SKI
MA MA. Mamba'ul Ulum GRESIK
4
12050123820058 ABDULLOH
SKI
MI Darussa'adah
GRESIK
5
12050123820062 SYAMSUL ANAM
SKI
MTs Ma`arif Daruttaqwa
GRESIK
6
12050123820085 MUHIMMATUL HASANA
SKI
MI Nurul Ulum
GRESIK
7
12050123820091 MATLAFIIR
SKI
MI Hidayatul Mubtadiin
GRESIK
8
12050123820143 M. KUFFAL JUFRI
SKI
MI MINU 04 DAUN 2
GRESIK
9
12050123820164 NINWARI
SKI
MTs MTs. Himayatul Islam GRESIK
10
12050123820202 IMAM KASTHOLANI
SKI
MTs MANBAUL ULUM ASSA'ADAH
GRESIK
11
12050123820216 SITI MUAWANAH
SKI
MA Al Hidayah
GRESIK
12
12050123820266 SENIDI
SKI
MTs MTs. Assa'adah II
GRESIK
13
12050323820024 ANIK MUFIDAH
SKI
MTs Wahid Hasyim
MOJOKERTO 13
14
12050323820055 SUPRIAJI
SKI
MI HASYIM ASY'ARI
MOJOKERTO
15
12050323820067 NUR HAMIM,
SKI
MI Thoriqul Ulum Kab. Mojokerto
MOJOKERTO 15
16
12050323820070 SUSI,
SKI
MI Miftahul Ulum Kab. Mojokerto
MOJOKERTO
17
12050423820160 ANIS NURHIDAYATI
SKI
MTs AS SALAM
JOMBANG
18
12050423820171 NUR HIDAYATI
SKI
MTs AT-TAUFIQ
JOMBANG
19
12050423820174 DEWI KHULIYATIN
SKI
MI MI. Darussalam
JOMBANG
20
12050523820029 YASIN
SKI
MI Miftahul Ulum
BOJONEGORO
21
12050523820046 DURROTUS SA'ADAH
SKI
MTs Roudloh
BOJONEGORO 21
22
12050523820047 USWATI
SKI
MTs SALAFIYAH SYAFI'IYAH BOJONEGORO
23
12050523820112 MUDZAKIR
SKI
MTs MTs. MIFTAHUL HUDA BOJONEGORO 23
24
12050623820041 NARJUS SUUD
SKI
MTs Islamiyah Banat Senori TUBAN
25
12050623820061 MAFTUKHAH
SKI
MI Al-Musthofawiyah Palang TUBAN
26
12050623820065 MUSLIH
SKI
MTs Manbaul Islam Sokosari Soko
2 3 4 5 6 7 8 9 10 11 12
14
16 17 18 19 20
22
24 25
TUBAN
26
Surabaya, _____________________________ Pengawas Ruangan,
_______________________________________
DAFTAR HADIR PESERTA UJI KOMPETENSI AWAL SERTIFIKASI 2012 LPTK IAIN SUNAN AMPEL SURABAYA Hari, Tanggal
: ________________________________________
Waktu
: ___________________________________________
Ruang
: ________________________________________
Mata Pelajaran
: ___________________________________________
Tempat
: ________________________________________
KELAS 26 NO
NOMOR PESERTA
NAMA
MAPEL
Tempat Tugas
TANDA TANGAN
KAB/KOTA
1
12050723820036 FATACHI
SKI
MTs Muhammadiyah 09
LAMONGAN
2
12050723820050 AHMAD MUNIR RABIRT
SKI
MTs MTs. MUHAMMADIYAH 26 KALITENGAH
LAMONGAN
3
12050723820083 M.NARKUT
SKI
MI Maslakul Huda
LAMONGAN
4
12050723820090 MUHYIN ASRORI
SKI
MI Al-Jihad Astana Brondong LAMONGAN
5
12050723820131 RODHIYAH
SKI
MTs MTs. PUTPUTRI
LAMONGAN
6
12050723820153 ABDUL WACHID
SKI
MI ASSA'ADAH
LAMONGAN
7
12050723820258 MOH. YUNUS ANIS
SKI
MI Al Hidayah
LAMONGAN
8
12050723820261 MAS'ULAH SA'ADAH
SKI
MTs Negeri Lamongan
LAMONGAN
9
12050723820349 UMMU KHOLIFAH
SKI
MTs Thoriqotul Hidayah
LAMONGAN
10
12051423820013 NUR NAFI'AH
SKI
MTs NEGERI NGANJUK
NGANJUK
11
12051423820061 ROBIATUL ADAWIYAH
SKI
MTs Modern Sunan Ampel NGANJUK
12
12051923820019 BAHAUDDIN
SKI
MTs MTs. Persis I Bangil
PASURUAN
13
12051923820036 ANAS
SKI
MTs ROUDLOTUL ISLAM
PASURUAN
14
12051923820048 ALI SATOYAN
SKI
MI MIFTAHUL ULUM
PASURUAN
15
12051923820061 HUMAIDAH
SKI
MTs Hidayatun Nasyiin
PASURUAN
16
12051923820117 ISLICH MAULUDDIYAH
SKI
MTs MA'ARIF
PASURUAN
17
12052323820001 HARSOYO
SKI
Mts Negeri Situbondo
SITUBONDO
18
12052423820024 MOHAMMAD SAFI'
SKI
MI Al Hidayah
JEMBER
19
12052423820047 SUDIRMAN
SKI
MI Miftahul Ulum 01
JEMBER
20
12052423820058 M. HASYIM
SKI
MTs Asy-Syafi'iyah
JEMBER
21
12052423820063 KAMALI
SKI
MI Muhammadiyah 05 Cakru JEMBER
22
12052423820068 KASDIB
SKI
MA MA. MA'ARIF AMBULU JEMBER
23
12052423820079 KHOJIN
SKI
MTs ALBAROKAH
JEMBER
24
12052423820092 SUWATI
SKI
MI Sempolan
JEMBER
25
12052423820114 MOCHAMAD ERFAN
SKI
MI Miftahul Ulum Sukorejo JEMBER
26
12052423820143 RIDWAN
SKI
MI MI. WAHID HASYIM II JEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
Surabaya, _____________________________ Pengawas Ruangan,
_______________________________________
DAFTAR HADIR PESERTA UJI KOMPETENSI AWAL SERTIFIKASI 2012 LPTK IAIN SUNAN AMPEL SURABAYA Hari, Tanggal
: ________________________________________
Waktu
: ___________________________________________
Ruang
: ________________________________________
Mata Pelajaran
: ___________________________________________
Tempat
: ________________________________________
KELAS 27 NO
NOMOR PESERTA
NAMA
MAPEL
Tempat Tugas
TANDA TANGAN
KAB/KOTA
1
12052423820152 QOMARI
SKI
MI MINURUL ISLAM 02
JEMBER
1
2
12052423820163 SUPRIYANTO
SKI
MTs MIFTAHUL ULUM
JEMBER
3
12052423820166 SRI HANDAYANI
SKI
MI Bustanul Ulum Suci 01 JEMBER
4
12052423820181 SHO'IM
SKI
MI Al-Ma'arif 01
JEMBER
5
12052423820195 SYAMHADI
SKI
MTs NURUL FALAH
JEMBER
6
12052423820210 ISTOHRI
SKI
MI BUSTANUL ULUM 09
JEMBER
7
12052423820216 MUBAROKUDIN
SKI
MI SALAFIYAH SYAFI`IYAH JEMBER
8
12052423820220 MUSA
SKI
MTs MTs.At-thohiriyah
JEMBER
9
12052423820241 AGUS PRIYANTO
SKI
MI Miftahul Ulum curah kalong V
JEMBER
10
12052423820269 USMAN
SKI
MI MIFTAHUL ULUM
JEMBER
11
12052423820273 NOOR DHIAN SAFITRI
SKI
MA MA. Masyithah
JEMBER
12
12052423820279 MOH. IKROM
SKI
MI Miftahul Ulum Serut 01 JEMBER
13
12052423820290 MOHAMAD ASHARI
SKI
MTs AL AZHAR
JEMBER
14
12052423820299 MARSUKI
SKI
MTs MISBAHUL ULUM
JEMBER
15
12052423820323 IMAM MUSTAJAB
SKI
MI MIFTAHUL ULUM 05 TANJUNGSARI
JEMBER
16
12052423820350 TSAMROTUL FUAD
SKI
MTs MTs. AL-QODIRI 1 JEMBER
JEMBER
17
12052423820356 SAHIR
SKI
MI MIFTAHUL ULUM
JEMBER
18
12052423820373 LAILA CHAMDIYATUL FITRIA SKI
MTs MTs. Darul Hikmah Al-Hasan
JEMBER
19
12052423820379 KHAIRUDIN
SKI
MI MI.RIYADLATUL AFKAR Petung
JEMBER
20
12052423820384 MUTHI' NIHAYATI
SKI
MTs Ma'arif Kencong
JEMBER
21
12052423820424 NUHASAN BADRI
SKI
MI MI.BUSTANUL ULUM PAKUSARI
JEMBER
22
12052423820452 MAS'UD
SKI
MTs KHOLID BIN WALID
JEMBER
23
12052423820465 HAFID
SKI
MA MA. Baitul Azhar
JEMBER
24
12052423820479 SURYANINGSEH
SKI
MI Darul Ibad
JEMBER
25
12052523820009 HASAN RIFA'I
SKI
MI DARUS SHOLAH
BANYUWANGI 25
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Surabaya, _____________________________ Pengawas Ruangan,
_______________________________________
DAFTAR HADIR PESERTA UJI KOMPETENSI AWAL SERTIFIKASI 2012 LPTK IAIN SUNAN AMPEL SURABAYA Hari, Tanggal
: ________________________________________
Waktu
: ___________________________________________
Ruang
: ________________________________________
Mata Pelajaran
: ___________________________________________
Tempat
: ________________________________________
KELAS 28 NO
NOMOR PESERTA
NAMA
MAPEL
Tempat Tugas
TANDA TANGAN
KAB/KOTA
1
12052523820015 SUPIYAN
SKI
MTsN Rogojampi
BANYUWANGI 1
2
12052523820029 HASAN BISRI
SKI
MI Hidayatul Ulum
BANYUWANGI
3
12052523820053 IMAM SYAFI'I
SKI
MTs SUNAN AMPEL
BANYUWANGI 3
4
12052523820056 HAYYUN,
SKI
MTs MTs. Darul Uluum
BANYUWANGI
5
12052523820058 M. HOSNI
SKI
MA Bustanul Ulum
BANYUWANGI 5
6
12052523820091 SULANI
SKI
MI AL FATAH
BANYUWANGI
7
12052523820120 HINDUN ROHMAWATI
SKI
MI Da'watul Falah
BANYUWANGI 7
8
12052623820025 MOHAMMAD HASYIM
SKI
MI. AL-GHAZALI
PAMEKASAN
9
12052623820027 BAIHAKI
SKI
MI MI. Nurul Islam
PAMEKASAN 9
10
12052623820048 AH. BASHRI HASAN
SKI
MTs MTs. Ummul Quro Putri PAMEKASAN
11
12052623820054 MUSFIROH
SKI
MTs Az-Zubair
PAMEKASAN 11
12
12052623820058 MOHAMAD WARDI
SKI
MA MA. Al-Ula
PAMEKASAN
13
12052623820066 MUSDALIFAH
SKI
MTs Darut Thalibin
PAMEKASAN 13
14
12052623820067 ZAHRAH
SKI
MTs MTs. Al-Huda
PAMEKASAN
15
12052623820084 ERNY FUJI ASTUTIK
SKI
MTs Hidayatun Najah
PAMEKASAN 15
16
12052623820089 MAFTUHAH
SKI
MTs Al-Mukhlishin
PAMEKASAN
17
12052623820094 MUNIR
SKI
MI MI. AL-FALAH II
PAMEKASAN 17
18
12052623820106 ABDULLAH
SKI
MA MA. NOER FADILAH
PAMEKASAN
19
12052623820119 AKHMAD DZULHIJJAH
SKI
MTs Riyadlul Muhtadin
PAMEKASAN 19
20
12052623820142 ABDULLAH SAIDI
SKI
MI MIS. Darul Ulum I
PAMEKASAN
21
12052723820025 MOHAMMAD MUJAMMIL
SKI
MTs Hidayatul Muhtadin SAMPANG
22
12052723820029 ERSAT
SKI
MTs Al- Bukhary
SAMPANG
23
12052723820032 MOH. JAMIL
SKI
MI Awwaliyah
SAMPANG
24
12052723820035 NUR LAILA
SKI
MA Nahdlatut thullab
SAMPANG
25
12052723820039 MUKARROMAH
SKI
MA Nazatut Thullab
SAMPANG
2
4
6
8
10
12
14
16
18
20 21 22 23 24 25
Surabaya, _____________________________ Pengawas Ruangan,
_______________________________________
DAFTAR HADIR PESERTA UJI KOMPETENSI AWAL SERTIFIKASI 2012 LPTK IAIN SUNAN AMPEL SURABAYA Hari, Tanggal
: ________________________________________
Waktu
: ___________________________________________
Ruang
: ________________________________________
Mata Pelajaran
: ___________________________________________
Tempat
: ________________________________________
KELAS 29 NO
NOMOR PESERTA
NAMA
MAPEL
Tempat Tugas
TANDA TANGAN
KAB/KOTA
1
12052723820064 HAFILUDDIN
SKI
MTs Nurul Yakin
SAMPANG
1
2
12052723820068 M. WASILATUR RAHMAN
SKI
MI Darul Ulum
SAMPANG
3
12052823820013 AHMAD GANI
SKI
MTs. TERATE PANDIAN SUMENEP
SUMENEP
4
12052823820021 SUHAILI
SKI
MTs. SA TANJUNG
SUMENEP
5
12052823820034 SUUDI
SKI
MTs MTs. AL-HAYYAN
SUMENEP
6
12052823820035 HASAN
SKI
MI MI. Mambaul Ulum
SUMENEP
7
12052823820082 HOMAIDI
SKI
MTs Tanwirul Hija
SUMENEP
8
12052823820083 ACH. JASU
SKI
MI At-Taufiqiyah
SUMENEP
9
12052823820096 AMSUS
SKI
MI Al Mukhlisin
SUMENEP
10
12052823820110 ZAHMAWI
SKI
MTs MTs. TARBIYATUL MUTA'ALLIMIN
SUMENEP
11
12052823820114 BASHROWI
SKI
MTs MTs. Nurus Sholeh
SUMENEP
12
12052823820121 A.HUSDI. M
SKI
MA MA. Raudlatul Ihsan
SUMENEP
13
12052823820124 MASYHUR
SKI
MI MIS. DLIYAUT THALIBIN SUMENEP
14
12052823820125 MISKAN
SKI
MTs MTs. AL-HUDA SAPEKEN SUMENEP
15
12052823820129 DRS. MASY'HURI
SKI
MTs MTs. Nahdatul Ulama SUMENEP
16
12052823820153 MASKIYAH
SKI
MI An-Najah Lenteng
SUMENEP
17
12052823820168 SAFI'IE
SKI
MTs MTs. AL-ISHLAH
SUMENEP
18
12052823820178 RASYIDI
SKI
MI Miftahul Amal Lenteng SUMENEP
19
12052823820183 RASWI
SKI
MTs MTs. Al-Hidayah
SUMENEP
20
12052923820011 MUHAMAD
SKI
MTs Manbaul Ulum
BANGKALAN
21
12052923820022 SYAKUR
SKI
MTs Roudlotul Hidayah
BANGKALAN 21
22
12056623820009 ACH. DJUNAEDI
SKI
MTs DARUL ULUM
KOTA PASURUAN
23
12220123820003 Moh. Jamaluddin
SKI
MIN Patas
Buleleng
24
12220123820012 Abd. Rasyid
SKI
MTs Sunan Ampel
Buleleng
25
12220523820001 Hariri
SKI
MA 45 Gianyar
Gianyar
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
22 23 24 25
Surabaya, _____________________________ Pengawas Ruangan,
_______________________________________
