Alternative Sitting

Date Form
Please complete the form and send it to us via email at info@icasindonesia.co.id or fax
at 021 300 27 970. This form must be received by UTC at the latest on Monday, 15
August 2016.

Date:

School Name
Principals
Name
Coordinator's
Name

: SMA BUDI UTOMO PERAK

Reason

: No class room available

No

: Drs. H. Bambang Wahyudi, M.Si.

: Abdul Aziz Kusaini, S.Pd.

Subject

Date

Time

English

September 02, 2016

20.00

Mathematics

September 02, 2016

20.00

Science

September 02, 2016

20.00

Digital
Technologies

September 16, 2016

20.00

Writing

September 16, 2016

20.00.0

Prepared by,

Approved by,

ICAS Coordinator

School Principal