Notulen
Notulen
SEKRETARIAT DAERAH
Alamat
NOTULEN
Sidang/Rapat : ..................................................................................................................
Hari/Tanggal : ..................................................................................................................
Waktu Panggilan : ..................................................................................................................
Waktu Sidang/Rapat : ..................................................................................................................
Acara : 1. ...........................................................................................................
2. dan seterusnya
3. Penutup.
Pimpinan Sidang/Rapat
Ketua : ..................................................................................................................
Sekretaris : ..................................................................................................................
Pencatat : ..................................................................................................................
.....................................................................................
PIMPINAN SIDANG/RAPAT
NAMA JABATAN
NAMA PEJABAT
Pangkat
NIP.