Jl. Jend. A. Yani No.52 Telp. (0725) 49200, Fax.

(0721) 41928
Kota Metro, KodePos 34111

NOTULEN RAPAT

Sidang/Rapat : ................................................................................................................
Hari/Tanggal : ................................................................................................................
Waktu Panggilan : ................................................................................................................
Waktu sidang/rapat : ................................................................................................................
Acara : 1. ...........................................................................................................
2. ...........................................................................................................
3. ...........................................................................................................
4. ………………………………………………………………………
Pimpinan sidang/Rapat
Ketua : .....................................................................................................................
Seketaris : .....................................................................................................................
Pencatatan : .....................................................................................................................

Peserta sidang/rapat : 1. .....................................................................................................

2. .....................................................................................................
3. .....................................................................................................
Kegiatan Sidang/Rapat : 1. .....................................................................................................
2. .....................................................................................................
1. Kata pembukaan : .........................................................................................................
2. Pembahasan : .........................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
3. Peraturan : .........................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................

PIMPINAN SIDANG/RAPAT
..................................................

---------------------------------------------
NIK.
 Jl. Jend. A. Yani No.52 Telp. (0725) 49200, Fax. (0721) 41928
Kota Metro, KodePos 34111

DAFTAR HADIR RAPAT

HARI/TANGGAL :

PUKUL :

AGENDA :

TEMPAT :

NO NAMA JABATAN TANDA TANGAN

1
2
3
4
5
6
7
8
9
10