TANGGAL : ___________________________________________________
WAKTU : ___________________________________________________
TEMPAT : ___________________________________________________
JENIS RAPAT: ___________________________________________________
URAIAN RAPAT :
PIMPINAN RAPAT : _____________________________________________
JUMLAH YANG DI UNDANG : ____________ orang
JUMLAH YANG HADIR : ____________ orang
JUMLAH YANG TIDAK HADIR : __________ orang
SUSUNAN ACARA :
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URAIAN RAPAT :
________________________________________________________________
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LAIN-LAIN
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