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USULAN PERBAIKAN NRG DAN NRG BARU
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* Indicates required question
NRG LAMA
*
Tulis NRG saat ini ! awali tanda petik ! Bila belum tanda ( - )
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NUPTK
*
awali tanda petik ( ' )
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No Peserta
*
awali Tanda petik ( ' )
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Nama PTK
*
Nama Lengkap
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Nama Satminkal
*
Nama RA / Madrasah lengkap
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NIP
Bagi PNS
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Status
*
PNS/NON PNS
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Jenjang
*
RA/MI/MTs/MA
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Tanggal Lahir
*
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Tempat Lahir
*
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No Sertifikat
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Tgl Sertifikat
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Mapel Sertifkat Pendidik
*
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SATUS KELULUSAN
*
Lulus
Belum Lulus
LPTK
Lembaga yang menyelenggarakan PLPG ( IAIN WALISONGO, UIN, UNNES, UNY, UMP DLL )
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SKTP
*
Surat Keputusan Tunjangan Profesi ( Pernah Masuk SK Dirjen Guru Profesional )
Sudah Terbit
Belum Terbit
Tanggal Pengajuan
Bulan OKTOBER
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Nomor HP
*
untuk kontak person
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