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MINISTRY OF NATIONAL EDUCATION

REPUBLIC OF INDONESIA

DIPLOMA
SENIOR HIGH SCHOOL
PROGRAM : ………………

ACADEMIC YEAR 2010/ 2011

The undersigned, the headmaster of …….…….. , certifies that :

Name :
Place and Date of Birth :
A Child of :
Student’s Number :
Participant Number :

HAS BEEN GRADUATED

From the educational unit based on the result of the National Examination and
School Examination and has satisfied all criteria pursuant to the laws and regulations

……………, …………………………..2011
Headmaster,

( )
ID. No.. ……………………………….
SCORE LIST OF
SENIOR HIGH SCHOOL EXAMINATION
PROGRAM : ………………
Curriculum : Education Unit Level
Name :
Place and Date of Birth :
Student’s Number :
Participant Number :

Report Card School


School
No. Subjects Average Examination
Grade *)
Grade Grade
I SCHOOL EXAMINATION
1. Religious Education
2. Civics Education
3. Indonesian Language
4. English
5. Mathematics
6. Physics
7. Chemistry
8. Biology
9. History
10. Arts & Culture
11. Physical, Sport and Health Education
12. Information and Comm. Technology
13. Profiency / Foreign Language
……………………………
AVERAGE
*) School Grade = 40% of Report Card Average Grade + 60% of School Examination Grade

School National
Final
No. Subjects Examination Examination
Grade *)
Grade Grade
II NATIONAL EXAMINATION
1. Indonesian Language
2. English
3. Mathematics
4. Physics
5. Chemistry
6. Biology
AVERAGE
*) Final Grade = 40% of School Examination Grade + 60% of National Examination Grade

……………, …………………………..2011
Headmaster,

( )
ID. No.. ……………………………….
PROGRESS REPORT
DURING STUDY IN ………………………………………………………

Name of Student :
Registered Number :
Major :
Period of Study :

Scores
Grade X Grade XI Grade XII
No. Subjects
Semester Semester Semester
1 2 1 2 1 2
1. Religious Education
2. Civics Education
3. Indonesian Language
4. English
5. Mathematics
6. Physics
7. Chemistry
8. Biology
9. History
10. Arts & Culture
11. Physical, Sport and Health Education
12. Information and Comm. Technology
13 Profiency / Foreign Language
……………………………

…………………………………..,,………………………… 2011

Grading System : Headmaster


90 – 100 : Excellent
80 – 90 : Very Good
70 – 80 : Good
60 – 70 : Average ( )
50 – 60 : Passing
Below 50 : Failure ID. No. …………………………………