| IDENTITAS IDUKA | |
| Nama IDUKA | : PT. HIPERNET INDODATA REG. JATIM |
| Alamat IDUKA | : makmur square, Jl. Raya rungkut 27 Ruko, B05, Kali Rungkut, Kec. Rungkut, Surabaya, Jawa Timur 6029 |
| Pelaksanaan | : 13 Oktober 2025 s/d 13 Februari 2026 |
| Nama Direktur/ Pimpinan *) | : ........................................................................ |
| Nama Pembimbing *) | : ........................................................................ |
| No HP/ WA Pembimbing | : ........................................................................ |
| IDENTITAS PESERTA | |
| Nama Siswa | : AFIF SURYA SAPUTRA / XII TKJ |
| HP Siswa | : 085168624431 |
| HP Orangtua | : 089512115640 |
| No | Tanggal Kunjungan | Uraian Kegiatan | Catatan | Paraf/stempel Pembimbing IDUKA | Petugas Monitoring |
| 1 | |||||
| 2 | |||||
| 3 |
| Hasil Pelaksanaan PKL :
.............................................................................................................................................................................................................................................. .............................................................................................................................................................................................................................................. .............................................................................................................................................................................................................................................. |
| Panitia PKL .................... NBM : |