PEMERINTAH KABUPATEN TULANG BAWANG
DINAS PENDIDIKAN
Jl. Cemara.........................
INSTRUMENPENILAIAN KINERJA GURU SEKOLAH DASAR
TAHUN ............................
IDENTITAS RESPONDEN
- Nama : ................................................................................
- NIP : ................................................................................
- NUPTK : ................................................................................
- Golongan/Ruang : ................................................................................
- Masa kerja gol. : ................................................................................
- Masa Kerja Keseluruhan : ................................................................................
- Sertifikasi : Tahun : ................................................................................
- Unit Kerja : ................................................................................
- Alamat : ................................................................................ : ................................................................................ : ................................................................................