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DAFTAR HADIRPESERTA PENYULUHAN

Hari, Tanggal :.........................................................................


Tempat :.........................................................................
Sasaran :.........................................................................
Waktu :.........................................................................
Tema Penyuluhan :.........................................................................

NO NAMA ALAMAT TANDA


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NOTULEN PENYULUHAN
Hari / Tanggal :...................................................................................

Waktu :...................................................................................

Tempat :...................................................................................

Jumlah Peserta :...................................................................................

Materi penyuluhan :...................................................................................

Kegiatan Diskusi

1. Nama Penanya :...................................................................................


Pertanyaan :...................................................................................
....................................................................................

2. Nama Penanya :...................................................................................


Pertanyaan :...................................................................................
....................................................................................

3. Nama Penanya :...................................................................................


Pertanyaan :...................................................................................
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4. Nama Penanya :...................................................................................


Pertanyaan :...................................................................................
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Ciamis, ........November 2022

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