NOTULEN
Sidang/Rapat : ................................................................................
Hari/Tanggal : ................................................................................
Waktu Panggilan : ................................................................................
Waktu Sidang/Rapat : ................................................................................
Acara : 1. ........................................................................
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Pimpinan Sidang/Rapat
Ketua : ................................................................................
Sekretaris : ................................................................................
Pencatat : ................................................................................
2. Pembahasan : ...............................................................................
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3. Peraturan : ...............................................................................
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PIMPINAN RAPAT
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Pangkat………………………….
NIP. ……………………………..