BERITA ACARA

MUSYAWARAH DESA
PEMBAHASAN, PENETAPAN DAN PENGESAHAN
RKP DESA TAHUN 2022

Berkaitan dengan pelaksanaan kegiatan musyawarah Desa, di Desa ……............

… Kecamatan ........................ Kabupaten Batang Provinsi Jawa Timur dalam rangka
Penyusunan RKP Desa tahun 2022, maka pada hari ini:

Hari dan Tanggal : ………………, ……, …………… 2021

Jam : ………………………………………
Tempat : ………………………………………

telah diadakan kegiatan musyawarah Desa tentang pembahasan, penyepakatan dan

pengesahan RKP Desa Tahun 2022, yang telah dihadiri oleh wakil-wakil kelompok,
dusun dan tokoh masyarakat, serta unsur lain yang terkait Desa sebagaimana tercantum
dalam daftar hadir terlampir.

Materi yang dibahas, serta yang bertindak selaku unsur pimpinan rapat dan
narasumber dalam membahas kegiatan musyawarah Desa tentang pembahasan,
penyepakatan dan pengesahan RKP Desa Tahun 2022 adalah:

A. Materi
1. Penyampaian Rancangan RKP Desa Tahun 2022;
2. Pembahasan dan Penetapan RKP Desa Tahun 2022; dan
3. Pengesahan Dokumen RKP Desa Tahun 2022.
B. Unsur Pimpinan Rapat dan Narasumber
Pemimpin Musyawarah : …..…………………….............. dari ..............
Notulen : …..…………………….............. dari ..............
Narasumber : 1. …..…………………….......... dari ..............
2. …..…………………….......... dari ..............
3. ....dan seterusnya. dari ..............

Setelah dilakukan pembahasan dan diskusi terhadap materi, selanjutnya seluruh

peserta musyawarah Desa menyepakati beberapa hal yang berketetapan menjadi
kesepakatan akhir dari musyawarah Desa tentang pengesahan RKP Desa Tahun 2022
yaitu:

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Keputusan diambil secara musyawarah mufakat/aklamasi dan pemungutan

suara/voting.

Demikian Berita Acara ini dibuat dan disahkan dengan penuh tanggungjawab
agar dapat dipergunakan sebagaimana mestinya.

....nama desa, ..... - ..... - 2021

Kepala Desa .................. Ketua BPD,

Nama, tanda tangan & cap Nama, tanda tangan & cap
.......................................... ..........................................

Wakil Masyarakat,

..........................................
 NOTULENSI

Agenda Kegiatan : Musyawarah Desa Pembahasan, Penetapan dan Pengesahan

RKP Desa.
Hari dan Tanggal : ………………, ……, …………… 2021
Jam : ......................................................
Notulen:
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....nama desa, ..... - ..... - 2021

Notulis,

................................................
DAFTAR HADIR
MUSYAWARAH DESA
 PEMBAHASAN, PENETAPAN DAN PENGESAHAN
RKP DESA TAHUN 2022

Hari/Tanggal : ............., ....................... 2021

Jam : .................... WIB
Tempat : ................................................
Jumlah Peserta : .............. orang
Laki-laki : ................ orang, Perempuan : ................ orang
JABATAN/ TANDA
NO NAMA L/P ALAMAT
UNSUR TANGAN
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 JABATAN/ TANDA
NO NAMA L/P ALAMAT
UNSUR TANGAN
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....nama desa, ..... - ..... - 2021

Kepala Desa .................. Ketua BPD,

Nama, tanda tangan & cap Nama, tanda tangan & cap
.......................................... ..........................................