LAPORAN PELAKSANAAN KEGIATAN

1. Dasar : ............................................................................................

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2. Kegiatan : ..................................................................................

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3. Tempat, tanggal

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4. Tujuan kegiatan

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5. Waktu : ..................................................................................

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6. Sasaran : ..................................................................................

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7. Materi : ..................................................................................

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8. Metode : ..................................................................................

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9. Media yang digunakan

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10. Hasil : ............................................................................................

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11. Hambatan/Kendala : ..................................................................................

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12. Pemecahan Masalah

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13. Kesimpulan : ..................................................................................

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14. Saran : ............................................................................................

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15. RTL : ..................................................................................

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Cilacap,
Pelaksana,
1.
2.