PANITIA PEMILIHAN KEPALA DESA

DESA WANSERIWU
KECAMATAN TIWORO TENGAH
Jln. Poros Desa Wanseriwu

BERITA ACARA PENETAPAN DPT

Pada hari ini, ……………….. Tanggla ……………….. Bulan …………………..Tahun 2019, telah
diselenggarakan Rapat Penetapan DPT yang dihadiri oleh Pemerintah Desa, Badan
Permusyawaratan Desa, , Panitia Pilkades, Bakal Calon Kepala Desa dan Masyarakat
peduli lainnya serta unsur lain sebagai mana tercantum dalam daftar hadir terlampir.

Setelah dilakukan pembahasan dan diskusi, peserta rapat menyetujui serta

memutuskan beberapa hal yang menjadi keputusan akhir dari musyawarah ini yaitu :

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Demikian berita acara ini dibuat dan disahkan dengan penuh rasa tanggung jawab
untuk dapat dipergunakan sebagaimana mestinya.

Wanseriwu, ............... ........................................, 2019

Pimpinan Rapat Notulis / Sekretaris

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Mengatahui ,
Kepala Desa Wanseriwu

ABDUL JAMAN. R