PROGRAM PENGAYAAN
Mata Pelajaran : .........................................................
Kelas / Semester : .........................................................
Hari / Tanggal Pelaksanaan : .........................................................
Kompetensi Dasar : ....................................................................................................
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Intrumen Penilaian
No. Soal / Materi Pelajaran Score
Hasil Pengayaan
No. Nama Siswa Nilai Ket.
Karanganyar,
Guru Mata Pelajaran
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