NOTULEN RAPAT

1 Hari/Tanggal : ......................................................................................
2 Waktu : ......................................................................................
3 Tempat : ......................................................................................
4 Acara : ......................................................................................
5 Materi Rapat/Agenda :
Pembahasan
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6 Pimpinan Rapat : ......................................................................................
7 Notulis Rapat : ......................................................................................
8 Perwakilan Peserta Rapat

No Nama Jabatan Alamat Tanda Tangan

10
9 Pendapat Peserta Rapat

a Nama :
Pertanyaan :
Pendapat/
Saran/Usulan

b. Nama :
Pertanyaan :
Pendapat/
Saran/Usulan

c. Nama :
Pertanyaan :
Pendapat/
Saran/Usulan

d. Nama :
Pertanyaan :
Pendapat/
Saran/Usulan

e. Nama :
Pertanyaan :
Pendapat/
Saran/Usulan

f. Nama :
Pertanyaan :
Pendapat/
Saran/Usulan
10 Hasil / Keputusan Rapat antara lain :
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11 Penutup
Demikian notulen ini dibuat, untuk digunakan sebagaimana mestinya.

Paloh,...................................... 29
Mare Pimpinan Rapat Notulis

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