Layanan Dispensasi Murid

Diposting oleh : SMAN 1 BUNGO
pada tanggal : Juli 25, 2026

Formulir Pengajuan Dispensasi

Formulir pengajuan dispensasi ditujukan untuk murid SMA N 1 Bungo untuk mendapatkan izin dispensasi kegiatan belajar mengajar dikarenakan partisipasi murid pada kegiatan tertentu. Silahkan isi form digital yang telah kami sediakan berikut.

Identitas Murid

Nama Murid

NIS / NISN

Kelas

Wali Kelas

No Whatsapp

Detail Kegiatan dan Dispensasi

Jenis Kegiatan

Judul Kegiatan

Penyelenggara Kegiatan

Tanggal Mulai Dispensasi

Tanggal Selesai Dispensasi

Lokasi Pelaksanaan Kegiatan

Upload Surat Undangan / Surat Pemanggilan Resmi

Konfirmasi Data

"Silakan periksa kembali formulir data pengajuan yang telah Anda isi, pastikan semua sudah sesuai sebelum mengklik tombol Kirim. Jika terdapat kesalahan, harap lakukan perbaikan terlebih dahulu untuk menghindari kendala atau penundaan dalam proses verifikasi."

Data Terkirim

Data anda telah berhasil dikirim dan tersimpan dalam sistem kami. Terima Kasih.

Data Berhasil Tersimpan!

Posting Komentar

Konfirmasi Penutupan

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_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0007', 'shortcut-section', document.getElementById('Image0007'), {'resize': false}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0008', 'shortcut-section', document.getElementById('Image0008'), {'resize': false}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0009', 'shortcut-section', document.getElementById('Image0009'), {'resize': false}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0010', 'shortcut-section', document.getElementById('Image0010'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0011', 'shortcut-section', document.getElementById('Image0011'), {'resize': false}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0020', 'headmaster-section', document.getElementById('Image0020'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0021', 'accordion-section', document.getElementById('HTML0021'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0022', 'accordion-section', document.getElementById('HTML0022'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0023', 'accordion-section', document.getElementById('HTML0023'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0021', 'data-section', document.getElementById('Image0021'), {'resize': false}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0022', 'data-section', document.getElementById('Image0022'), {'resize': false}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0023', 'data-section', document.getElementById('Image0023'), {'resize': false}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0024', 'data-section', document.getElementById('Image0024'), {'resize': false}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0004', 'main-section', document.getElementById('HTML0004'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0005', 'main-section', document.getElementById('HTML0005'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0006', 'main-section', document.getElementById('HTML0006'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0007', 'main-section', document.getElementById('HTML0007'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0029', 'teacher-title', document.getElementById('HTML0029'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0031', 'teacher-section', document.getElementById('Image0031'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0032', 'teacher-section', document.getElementById('Image0032'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0033', 'teacher-section', document.getElementById('Image0033'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0034', 'teacher-section', document.getElementById('Image0034'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0035', 'teacher-section', document.getElementById('Image0035'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0036', 'teacher-section', document.getElementById('Image0036'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0037', 'teacher-section', document.getElementById('Image0037'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0038', 'teacher-section', document.getElementById('Image0038'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0039', 'teacher-section', document.getElementById('Image0039'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0040', 'teacher-section', document.getElementById('Image0040'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0041', 'teacher-section', document.getElementById('Image0041'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0042', 'teacher-section', document.getElementById('Image0042'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0043', 'teacher-section', document.getElementById('Image0043'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0044', 'teacher-section', document.getElementById('Image0044'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0045', 'teacher-section', document.getElementById('Image0045'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0046', 'teacher-section', document.getElementById('Image0046'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0047', 'teacher-section', document.getElementById('Image0047'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0048', 'teacher-section', document.getElementById('Image0048'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0049', 'teacher-section', document.getElementById('Image0049'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0050', 'teacher-section', document.getElementById('Image0050'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0051', 'teacher-section', document.getElementById('Image0051'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0052', 'teacher-section', document.getElementById('Image0052'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0053', 'teacher-section', document.getElementById('Image0053'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0054', 'teacher-section', document.getElementById('Image0054'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0055', 'teacher-section', document.getElementById('Image0055'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0056', 'teacher-section', document.getElementById('Image0056'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0057', 'teacher-section', document.getElementById('Image0057'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0058', 'teacher-section', document.getElementById('Image0058'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0059', 'teacher-section', document.getElementById('Image0059'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0060', 'teacher-section', document.getElementById('Image0060'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0061', 'teacher-section', document.getElementById('Image0061'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0063', 'teacher-section', document.getElementById('Image0063'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0064', 'teacher-section', document.getElementById('Image0064'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0065', 'teacher-section', document.getElementById('Image0065'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0066', 'teacher-section', document.getElementById('Image0066'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0069', 'teacher-section', document.getElementById('Image0069'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0070', 'teacher-section', document.getElementById('Image0070'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0071', 'teacher-section', document.getElementById('Image0071'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0073', 'teacher-section', document.getElementById('Image0073'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0074', 'teacher-section', document.getElementById('Image0074'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0075', 'teacher-section', document.getElementById('Image0075'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0076', 'teacher-section', document.getElementById('Image0076'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0077', 'teacher-section', document.getElementById('Image0077'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0078', 'teacher-section', document.getElementById('Image0078'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0079', 'teacher-section', document.getElementById('Image0079'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0080', 'teacher-section', document.getElementById('Image0080'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0081', 'teacher-section', document.getElementById('Image0081'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0082', 'teacher-section', document.getElementById('Image0082'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0083', 'teacher-section', document.getElementById('Image0083'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0084', 'teacher-section', document.getElementById('Image0084'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0085', 'teacher-section', document.getElementById('Image0085'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0086', 'teacher-section', document.getElementById('Image0086'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0087', 'teacher-section', document.getElementById('Image0087'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0088', 'teacher-section', document.getElementById('Image0088'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0089', 'teacher-section', document.getElementById('Image0089'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0090', 'teacher-section', document.getElementById('Image0090'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0091', 'teacher-section', document.getElementById('Image0091'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0092', 'teacher-section', document.getElementById('Image0092'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0093', 'teacher-section', document.getElementById('Image0093'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0094', 'teacher-section', document.getElementById('Image0094'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0095', 'teacher-section', document.getElementById('Image0095'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0096', 'teacher-section', document.getElementById('Image0096'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0097', 'teacher-section', document.getElementById('Image0097'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0098', 'teacher-section', document.getElementById('Image0098'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0099', 'teacher-section', document.getElementById('Image0099'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00100', 'teacher-section', document.getElementById('Image00100'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00101', 'teacher-section', document.getElementById('Image00101'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00102', 'teacher-section', document.getElementById('Image00102'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00103', 'teacher-section', document.getElementById('Image00103'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00104', 'teacher-section', document.getElementById('Image00104'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00105', 'teacher-section', document.getElementById('Image00105'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00106', 'teacher-section', document.getElementById('Image00106'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00107', 'teacher-section', document.getElementById('Image00107'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00108', 'teacher-section', document.getElementById('Image00108'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00111', 'teacher-section', document.getElementById('Image00111'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00112', 'teacher-section', document.getElementById('Image00112'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00113', 'teacher-section', document.getElementById('Image00113'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00114', 'teacher-section', document.getElementById('Image00114'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00115', 'teacher-section', document.getElementById('Image00115'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00116', 'teacher-section', document.getElementById('Image00116'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00117', 'teacher-section', document.getElementById('Image00117'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image00119', 'teacher-section', document.getElementById('Image00119'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0008', 'teacher-section-post', document.getElementById('HTML0008'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0009', 'main-section-2nd', document.getElementById('HTML0009'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_BlogView', new _WidgetInfo('Blog0001', 'main-dynamic', document.getElementById('Blog0001'), {'cmtInteractionsEnabled': false, 'lightboxEnabled': true, 'lightboxModuleUrl': 'https://www.blogger.com/static/v1/jsbin/120969204-lbx.js', 'lightboxCssUrl': 'https://www.blogger.com/static/v1/v-css/828616780-lightbox_bundle.css'}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0013', 'video-title', document.getElementById('HTML0013'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0014', 'video-section', document.getElementById('HTML0014'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0015', 'video-section', document.getElementById('HTML0015'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0016', 'video-section', document.getElementById('HTML0016'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0024', 'map-section', document.getElementById('HTML0024'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0025', 'map-section', document.getElementById('HTML0025'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0018', 'related-title', document.getElementById('HTML0018'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0015', 'related-section', document.getElementById('Image0015'), {'resize': false}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0016', 'related-section', document.getElementById('Image0016'), {'resize': false}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0017', 'related-section', document.getElementById('Image0017'), {'resize': false}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0018', 'related-section', document.getElementById('Image0018'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image0019', 'related-section', document.getElementById('Image0019'), {'resize': true}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0019', 'footer-left', document.getElementById('HTML0019'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML0020', 'footer-right', document.getElementById('HTML0020'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_LinkListView', new _WidgetInfo('LinkList0004', 'footer-right', document.getElementById('LinkList0004'), {}, 'displayModeFull'));
</script>
</body>
*/</style>