| IDENTITAS IDUKA | |
| Nama IDUKA | : TAJIR CONVECTION |
| Alamat IDUKA | : ds, kalisari dusun mojongudi rt 3 rw1 Kec. Boureno Kab. Bojonegoro |
| Pelaksanaan | : 13 Oktober 2025 s/d 13 Februari 2026 |
| Nama Direktur/ Pimpinan *) | : ........................................................................ |
| Nama Pembimbing *) | : ........................................................................ |
| No HP/ WA Pembimbing | : ........................................................................ |
| IDENTITAS PESERTA | |
| Nama Siswa | : NAVEEL SAHRAZAD ALHAN / XII DKV |
| HP Siswa | : 089635843682 |
| HP Orangtua | : 0895335283935 |
| No | Tanggal Kunjungan | Uraian Kegiatan | Catatan | Paraf/stempel Pembimbing IDUKA | Petugas Monitoring |
| 1 | |||||
| 2 | |||||
| 3 |
| Hasil Pelaksanaan PKL :
.............................................................................................................................................................................................................................................. .............................................................................................................................................................................................................................................. .............................................................................................................................................................................................................................................. |
| Panitia PKL .................... NBM : |