format profil pos paud operator tanggeung.xlsx

8/18/2019 Format Profil POS PAUD OPERATOR TANGGEUNG.xlsx

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DATA SINKRONISASI DAP

NAMA LEMBAGA : .....................................................DESA : .....................................................NAMA PENGELOLA : .....................................................

Tgl/Bln/Thn. Berdiri : .....................................................Tgl. Verifkasi :

Provinsi : Ja a !ara"Ka#$Ko"a : Ka#% &ian'(rK)*a+a"an : Tan,,)(n,

A% I )n"i"as S).o/a- Nama Sekolah : ................................................- NPSN / NSS : ................................................- Jenjang Pendidikan : SPS / KB / TK / TPA / TP- S!a!"# Sekolah : Negeri / S$a#!a

!% Lo.asi S).o/a- Alama! %Jln./K&. ' : ................................................

(T/() : ................................................Nama D"#"n : ................................................De#a/Kel"rahan : ................................................Kode &o# : *+,-Ke ama!an : Tangge"ng

- Ti!ik Kordina!Lin!ang : ................................................B"j"r : ................................................

&% Da"a P)/)n,.a S).o/a- Pela0anan Ke1"!"han Kh"#"# : 2a / Tidak

Ke1"!"han Kh"#"# 0g dila0ani : ................................................(di isi jika Ya) : ................................................

: d#!. Boleh di !am1ahkan- No. SK Pendirian Lem1aga : ................................................

Tgl. SK Pendirian Lem1aga : ................................................- Di kel"arkan oleh : ................................................

- S!a!"# Ke&emilikan

: Jika lainn0a #e1"!kan .............Memiliki 34in O&era#ional : Bel"m memiliki / Memiliki

- Pem1eri 34in O&era#ional : ................................................No. SK 34in O&era#ional : ................................................

Tgl SK 34in O&era#ional : ................................................Ma#a 1erlak" m"lai !anggal : ................................................

- S!a!"# Akredi!a#i : S"dah / Bel"mDi i#i jika 1el"m : Pro#e# &engaj"an / 1el"m me

Pengaj"an Akredi!a#i : ,567 / ,56- / ,56Di i#i jika #"dah akredi!a#iNo SK Akredi!a#i :

Ke ama!an / De#a / 2a0a#an /

Lain n0a

Pro#e# Per&anjangan



- No. (ekening BOP /Lem1aga : ................................................Nama Bank : ................................................9a1ang / K9P 8ni! : ................................................(ekening A!a# Nama : ................................................

- S!a!"# Ke&emilikan : ................................................- : ................................................

No. Ak!a 2a0a#an/Lem1aga : ................................................ Tanggal Ak!a 2a0a#an : ................................................Kelom&ok 2a0a#an : ................................................

- SK Menk"mham : Ada / Tidak AdaNo. SK Menk"mham : ................................................

Tanggal SK Menk"mham : ................................................

- : 2a / Tidak- L"a# Tanah Milik : ................................................L"a# Tanah B"kan Milik : ................................................L"a# Tanah Milik dan B"kan Milik : Milik Sendiri / Milik Pemerin!a

- Ke&emilikan 1ang"nan("ang Kela# 1elajar("ang &endidik / &engelola : ..................... / ........................("ang T"ngg" : ................................................("angan lainn0a %jika ada ' : ................................................

: ................................................

: d#!. Toile! / )9 : Milik Sendiri / B"kan MilikSi#$a : ................................................G"r" : ................................................

- Kondi#i Bang"nan : Baik / ("#ak (ingan / ("#ak S- )ak!" Pen0elenggaraan : Pagi / Siang / Sore / Kom1in- Ked"d"kan dalam G"g"# PA8D : 3n!i / 3m1a# / Bel"m 3k"!

J"mlah Anggo!a %Jika PA8D 3n!i' : ................................................Nama PA8D 3n!i %Jika 3m1a#' : ................................................SK Pem1en!"kan G"g"# PA8D : dari .................... ...................

No. SK Pem1en!"kan G"g"# PA8D : ................................................ Tanggal SK Pem1en!"kan G"g"# : ................................................Ma#a Berlak" / Tanggal Per"1ahan : ................................................

D% Kon"a. S).o/a- Nomor Tele&on : ................................................- Nomor a; : ................................................- Email : ................................................- )e1#i!e : ................................................- No. <P Pengelola/Ke&ala : ................................................

- No. <P O&era!or/T Admini#!ra#i : ................................................- No. <&. Bendahara BOP : ................................................

naungan yayasan )

Lem1aga memiliki Manajemen

Ber1a#i# Sekolah %MBS'

: 6 / , / + / lebih dari 3



- Da0a Li#!rik : *75 / =55 / 6,55 / !idak ada- Ak#e# 3n!erne! : Ada / Tidak Ada- S"m1er Li#!rik : PLN / Jen#e! / Lainn0a- Ser!i>ka#i 3SO : Bel"m Ber#er!i>ka! / S"dah B



DIK PAUD-

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r#er!i>ka!

9ianj"r? .................................... ,56-Ke&ala Sa!"an PA8D

......................................................

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% DATA PESERTA DIDIK Diam1il dari da!a !er1ar" A&ril ,56-

J(+/a P)s)r"a Di i. L P To"a/

- SIS3A MENURUT USIAUsia L P

@ , TA<8N

, + TA<8N

+ * TA<8N

* 7 TA<8N

7 - TA<8N

- TA<8N

To!al- SIS3A MENURUT A4AMA

A,a+a L P3#lam

To!al

- SIS3A MENURUT PEN4HASILAN ORAN4 TUA A AH 7 I!U 7 3ALI8P)n, asi/an L P

Tidak di i#i

K"rang dari (&. 755?555

(&. 755?555 (&. 6 j!

(&. 6?555?555 (&. , j!

(&. ,?555?555 (&. 7 j!

(&. Le1ih dari 7?555?555

To!al

9ianj"r? ...................Ke&ala Sa!"an PA8D

................................

Kri#!en? Ka!olik? <ind"? B"dha?Kongh" "



To"a/

To"a/

To"a/

................. ,56-

......................



4% Da"a P)n i i. an T)na,a K) )n i i.an PTK8

No Na+a 4)/ar NIP NUPTK

JK

L P J

1

2

9

5

6

;

<

=

10

11

12

J(+/a PTK

L P To"a/

P)n i i.anT)ra. ir

J(r(san$Pro i

P)n i i. $ T%K) )n i i.an



,an

TMT K)r'a M)n,a'ar

9ianj"r? .................................... ,56-Ke&ala Sa!"an PA8D

......................................................

T(,asTa+#a an

J(+/a Ja+ P)rMin,,(



.........................................................



!% Da"a PrasaranaPr)s)n"as) Kon isi S)+(a Prasarana

No Na+a Prasarana Pan'an, +8 L)#ar +8P)n("( A"a

6 Jam1an , + 5

, Madin 7 65+ Tem&a! 31adah 6, = 5



Ran,.a A"a Li s/an,$Ta/an, Ran,.a P/a?on P)n("( Lis" /a?on &a" P/a?on5 5 5 5 5

+ 65 + 65 ,5 5 5 5 5



Kon isi K)r(sa.an Prasarana >8

Ko/o+ Rin, !a/o. !a"a$Din in, P)n,isi &a" Din in, K(s)n Da(n Pin"( Da(n J)n )/a5 5 5 5 5 5

65 7 65 6, 65 6,5 5 5 5 5 5



S"r(."(r !a a P)n("( Lan"ai Pon asi S/oo? Lis"ri. Air H('an Ra#a"an5 5 5 5 5 7

65 * 65 * 6 C5 5 5 , 5 5



5.,C B"kan Milik

.** B"kan Milik5.66 B"kan Milik

a a-ra aKon isi K)r(sa.an

Prasarana

S"a"(sK) )+i/i.an



&% Da"a Sarana

No J)nis Sarana J(+/a L)"a.

6 Meja Si#$a ,5 Madin, K"r#i Si#$a *5 Madin

To"a/ 60



K)")ran,an

LaikLaik



D% Da"a Ro+#on,an !)/a'ar Ro+#)/8

No Na+a Ro+#)/ J(+/a Sis a

L P J(+/a

6 KELAS A KB 6 7 -, KELAS B KB 6* 65 ,*

+ KELAS 9 KB 5 C CTo"a/ 15 29 9<



3a/i K)/as

ADE L3A)AT333S K8(N3AS3<

28L3ANT3

format profil pos paud operator tanggeung.xlsx

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