TATA NASKAH DINAS BERDASARKAN PMA NOMOR 9 TAHUN 2016

TATA NASKAH DINAS

BERDASARKAN PMA NOMOR 9 TAHUN 2016

Beranjak dari latar belakang persuratan dinas di lingkungan madrasah swasta yang beragam, maka KKMI
Kabupaten Bogor berusaha menyeragamkan tata persuratan tersebut mulai dari bentuk Kop surat, Penomoran
surat, Stempel Madrasah dan berbagai bentuk surat baik itu naskah dinas arahan, surat dinas dan naskah dinas
khusus.

Penyeragaman tersebut berpedoman kepada Peraturan Menteri Agama Nomor 9 Tahun 2016 tentang tata
naskah dinas di lingkungan kementerian agama.

Oleh karena itu, Kami Pengurus KKMI kecamatan berkewajiban untuk segera mensosialisasikan penyeragaman
tata persuratan ini kepada seluruh Kepala Madrasah Ibtidaiyah di wilayah Kecamatan Tenjolaya agar terhitung
Tahun Pelajaran 2016-2017 semua tata persuratan di Madrasah Ibtidaiyah se Kabupaten Bogor dapat seragam.
Adapun bentuk dan tata cara penomoran surat dimaksud adalah sebagai berikut :

I.      PENOMORAN NASKAH DINAS

A.    Susunan penomoran untuk naskah instruksi, surat edaran, surat tugas dan naskah dinas khusus sebagai
berikut

1)    Nomor surat (nomor urut dalam satu tahun takwim)

2)    Kode jabatan

3)    Bulan (ditulis dalam dua digit)

4)    Tahun terbit

Contoh nomor surat tugas

NOMOR : 09 / Mi.10.01.000 / 08 / 2016

                                                                                                Nomor surat

                                                                                                Kode Jabatan Kep MI

                                                                                                Bulan ke-8 (agustus)

                                                                                                Tahun 2016

Keterangan : Angka 000 diganti dengan No. NSM Madrasah

B.   Susunan penomoran untuk surat dinas mencakup hal-hal sebagai berikut :

1)    Kode derajat pengamanan surat

2)    Nomor surat dinas (nomor urut dalam satu tahun takwim *)

3)    Kode jabatan

4)    Kode klasifikasi arsip (KKA)

5)    Bulan (ditulis dalam dua digit)

6)    Tahun terbit

*). Untuk nomor surat dalam satu takwim, disesuaikan dengan kondisi madrasah. Apabila dalam satu tahun
takwim madrasah tsb mengeluarkan surat diatas seratus, maka nomor surat dapat dibuat 3 digit, seperti 001
dst.

Contoh nomor surat dinas

Nomor : B.150 / Mi.10.01.000 / KP.01.1/ 08 / 2016

Keterangan :

B                                 : Kode derajat pengamanan surat dinas bersifat biasa

150                             : Nomor surat dinas

Mi.10.01.000             : Kode jabatan Kepala Madrasah

KP.01.1                      : Kode klasifikasi arsip kepegawai berstatus Guru tetap

08                                : Bulan ke-8 ( Agustus )

2016                           : Tahun 2016

Angka 000 diganti dengan No. NSM Madrasah

II.    KODE KLASIFIKASI ARSIP ( KKA )

1.    Kepegawaian                                                                       (KP)

1)    Guru/tenaga kependidikan                                          ( 01)

a)    Tetap                                                                          (1)

b)    Tidak tetap                                                                (2)

2)    Tenaga Kependidikan                                                  (02)

a)    Tata usaha                                                               (1)
b)    Pustakawan                                                              (2)

c)    Penjaga/tukang kebun                                           (3)

d)    Operator                                                                    (4)

3)    Pelatih/pembina                                                             (03)

a)    Pramuka                                                                    (1)

b)    Usaha Kesehatan Madrasah                                 (2)

c)    Olahraga dan seni                                                   (3)

2.    Kesiswaan                                                                            (KS)

1)    Kepramukaan                                                                 (01)

2)    Usaha Kesehatan Madrasah                                       (02)

3)    Olahraga dan seni                                                         (03)

3.    Kurikulum                                                                              (KR)

1)    Intrakurikuler                                                                  (01)

a)    Penilaian tengah semester                                    (1)

b)    Penilaian akhir semester/Kenaikan Kelas           (2)

c)    Ujian Madrasah                                                        (3)

2)    Ko kurikuler                                                                    (02)

a)    Baca Tulis Alquran                                                  (1)

b)    Bahasa Arab                                                             (2)

c)    Kesenian                                                                   (3)

d)    Olahraga                                                                   (4)

3)    Ektrakurikuler                                                                 (03)

a)    Pramuka                                                                    (1)

b)    Olahraga dan seni                                                   (2)

c)    Paskibra                                                                    (3)

d)    Dokter kecil                                                               (4)

4.    Keuangan                                                                             (KU)

1)    Biaya Operasional Madrasah                                      (01)

2)    Komite madrasah                                                           (02)

3)    Bantuan pemerintah lainnya                                       (03)

5.    Sarana dan Prasarana                                                        (SP)

1.    Gedung Madrasah                                                         (01)
2.    Mebeuler                                                                         (02)

3.    Media pembelajaran                                                      (03)

4.    Alat peralatan madrasah                                              (04)

6.    Hubungan Masyaralat

1)    Komite Madrasah                                                           (01)

2)    Dunia Usaha/Dunia Industri                                        (02)

3)    Organisasi dibawah koordinasi Kemenag                 (03)

III.   CONTOH BEBERAPA JENIS SURAT

Berikut adalah contoh beberapa jenis surat yang biasa dibuat oleh madrasah, seperti Berita Acara, Surat
Undangan, Lampiran Surat Undangan, Laporan, Surat Dinas, Surat Edaran, Surat Keterangan, Surat Tugas, dan
Surat Pengantar. Semua dibuat dengan menggunakan KOP Surat masing-masing madrasah. (silahkan
sesuaikan)

CONTOH BERITA ACARA

BERITA ACARA

NOMOR : ....................................

            Pada hari ini, .................. tanggal ................... bulan .................... tahuh ..............., kami masing-masing :

1.      ............ (nama pejabat), ......... (NIP dan jabatan), selanjutnya disebut Pihak Pertama

Dan

2.      ............ (pihak lain) ..............................., selanjutnya disebut Pihak Kedua, telah melaksanakan

1.      ................................................................................................................................................

................................................................................................................................................

................................................................................................................................................

2.      Dan seterusnya

Berita acara ini dibuat dengan sesungguhnya berdasarkan ...................................................

Dibuat di ...................................................

Pihak Kedua,                                                                          Pihak Pertama,

Tanda tangan                                                                          tanda tangan

Nama lengkap                                                                         nama lengkap

Mengetahui/Mengesahkan

Nama jabatan,

Tanda tangan

Nama lengkap

CONTOH SURAT UNDANGAN

Nomor             :                                                                       ( Tanggal, bulan, tahun )

Sifat                :

Lampiran         :

Hal                  :

Yth. ( daftar nama terlampir )

....................................................... (Alinea Pembuka dan isi) ....................................................

Pada hari/tanggal         : .......................................................

Waktu                         : pukul ............................................

Tempat                        : ......................................................

Acara                           : ......................................................

......................................................... (Alinea Penutup) ................................................................

......................................................................................................................................................

......................................................................................................................................................

Tenjolaya, ....... Juli 20 ....

Kepala Madrasah,

Tanda tangan dan cap madrasah

Nama Kepala

CONTOH Lampiran Surat Undangan

Lampiran Surat .......................

Nomor             :

Tanggal           :

DAFTAR PEJABAT/PEGAWAI YANG DIUNDANG

1.      .......................................................................................................................................

2.      .......................................................................................................................................

3.      .......................................................................................................................................

4.      .......................................................................................................................................

5.      .......................................................................................................................................

6.      .......................................................................................................................................

7.      .......................................................................................................................................

8.      .......................................................................................................................................

9.      .......................................................................................................................................

10.  .......................................................................................................................................

11.  .......................................................................................................................................

12.  .......................................................................................................................................

13.  .......................................................................................................................................

14.  .......................................................................................................................................

15.  .......................................................................................................................................

16.  .......................................................................................................................................

17.  .......................................................................................................................................

18.  .......................................................................................................................................

19.  .......................................................................................................................................

20.  .......................................................................................................................................

Kepala Madrasah,

Tanda tangan dan cap madrasah

Nama Kepala

CONTOH LAPORAN
LAPORAN

TENTANG

.......................................................................................................

A.    Pendahuluan

1.      Umum

2.      Maksud dan Tujuan

3.      Ruang Lingkup

4.      Dasar

B.     Kegiatan Yang Dilaksanakan

................................................................................................................................................

................................................................................................................................................

................................................................................................................................................

C.     Hasil Yang Dicapai

................................................................................................................................................

................................................................................................................................................

................................................................................................................................................

D.    Simpulan dan Saran

................................................................................................................................................

................................................................................................................................................

................................................................................................................................................

E.     Penutup

................................................................................................................................................

................................................................................................................................................

................................................................................................................................................

Dibuat di .................................................

Pada tanggal ...........................................

Nama Pejabat Pembuat Laporan,

Tanda tangan dan cap madrasah

Nama Lengkap

CONTOH SURAT DINAS

Nomor             :                                                                       ( Tanggal, bulan, tahun )

Sifat                :

Lampiran         :

Hal                  :

Yth. .........................................

.................................................

.................................................

....................................................... (Alinea Pembuka) ................................................................

......................................................................................................................................................

......................................................................................................................................................

.................................................................. (Alinea Isi) ................................................................

......................................................................................................................................................

......................................................................................................................................................

......................................................... (Alinea Penutup) ................................................................

......................................................................................................................................................

......................................................................................................................................................

Tenjolaya, ....... Juli 20 ....

Kepala Madrasah,
Tanda tangan dan cap madrasah

Nama Kepala

Tembusan :

1.      ................;

2.      ................;

3.      ................ dst

CONTOH SURAT EDARAN

Yth.        1. ......................;

                 2. ......................;

                 3. dst

SURAT EDARAN

NOMOR ..... TAHUN ....

TENTANG

(Nama surat edaran kepala madrasah)

A.      Umum

........................................................................................................................................................

........................................................................................................................................................

........................................................................................................................................................

B.      Maksud dan Tujuan

........................................................................................................................................................

........................................................................................................................................................

........................................................................................................................................................
C.      Ruang Lingkup

........................................................................................................................................................

........................................................................................................................................................

........................................................................................................................................................

D.      Dasar

........................................................................................................................................................

........................................................................................................................................................

........................................................................................................................................................

E.       .... dan seterusnya

Ditetapkan di .........................

Pada tanggal ..........................

Kepala Madrasah,

Tanda tangan dan cap madrasah

Nama Kepala

Tembusan :

1.       ............;

2.       ............;

3.      Dan seterusnya

CONTOH SURAT KETERANGAN

SURAT KETERANGAN

NOMOR : ....................................

Yang bertanda tangan di bawah ini,

Nama                           : ............................................................

NIP                             : ............................................................
Jabatan                        : ............................................................

Dengan ini menerangkan bahwa

Nama                           : ............................................................

NIP                             : ............................................................

Pangkat/golongan       : ............................................................

Jabatan                        : ............................................................

            Dan seterusnya

....................................................................................................................................................... ...........................
............................................................................................................................

.......................................................................................................................................................

.......................................................................................................................................................

.......................................................................................................................................................

.......................................................................................................................................................

Tenjolaya, ......... Juli 20 .....

Pejabat Pembuat Keterangan,

Tanda tangan dan cap madrasah

Nama Lengkap

CONTOH SURAT TUGAS

SURAT TUGAS

NOMOR .............

Menimbang     :           a.  Bahwa .....

                                    b.  Bahwa .....

                                    c.  dan seterusnya              

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

                                    2.  ...............;

                                    3.  ............... dst

Memberi Tugas

Kepada            :           1. ................;

                                    2. ................;

                                    3. ............. dst

Untuk              :           1. ................;

                                    2. ................;

                                    3. ................ dst

Tenjolaya, ....... Juli 20 ....

Kepala Madrasah,

Tanda tangan dan cap madrasah

Nama Kepala
CONTOH SURAT PENGANTAR

Yth.                                                                                         (Tanggal, Bulan dan Tahun)

.............................................

.............................................

.............................................

SURAT PENGANTAR

NOMOR : ....................................

No. Naskah Dinas/Barang Banyaknya Keterangan

Diterima tanggal ...............................

Penerima,                                                                                            Pengirim,

Nama Jabatan,                                                                                     Nama Jabatan,

Tanda tangan                                                                                      tanda tangan

Nama Lengkap                                                                                    Nama Lengkap

NIP. ....................                                                                                NIP. ........................

No. Telepon    :

No. Faximile   :

Catatan :

Setelah diterima, lembar kedua harap dikirimkan kembali kepada pengirim

CONTOH KOP SURAT

YAYASAN RUQOYAH SA’DIAH AL JAWAHIR

MADRASAH IBTIDAIYAH HIDAYATUSSHIBYAN

TERKAREDITASI “B”

Kp. Cibitung Kulon Rt 004/001Desa Cibitung Tengah Kecamatan Tenjolaya Kab. Bogor

Telp. 081574569579 E-mail. Muhammadkhotib90@gmail.com

CONTOH STEMPEL MADRASAH

Seperti yang sudah disampaikan di Group WA KKMI Tenjolaya (Bagi yang belum memiliki silahkan minta ke
rekan yang lain). Harap maklum.