BERITA ACARA PEMBENTUKAN

KARANG TARUNA UNIT RW....

MASA BHAKTI.................

Pada hari ini .............tanggal ............bulan ..........tahun ..............., bertempat di ................telah

dilaksanakan Pembentukan Karang Taruna Kampung ................. RW..........Desa
.............kecamatan ..........kabupaten ............Dengan Kepengurusan Karang Taruna Unti
RW.....Sebagai berikut:

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Demikian berita acara ini dibuat untuk diketahui sebagaimana mestinya.

Mengetahui

Ketua RW ............... Pimpinan Rapat....

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