PERTEMUAN WARGA
Provinsi : …………………………………………….
Kabupaten : …………………………………………….
Kecamatan : …………………………………………….
Kelurahan/Desa : …………………………………………….
Tanggal : …………………………………………….
Acara : Pertemuan Warga
1. Nama : …………………………………………….
Jabatan : …………………………………………….
2. Nama : …………………………………………….
Jabatan : …………………………………………….
3. Dst ………………
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Dst………………………………………………………………………………………..…
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Peserta (tanya) :
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Narasumber (jawab) :
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Peserta (tanya) :
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Narasumber (jawab) :
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Kesimpulan/ Kesepakatan :
Berdasarkan Pemaparan Narasumber dan Tanya Jawab, dapat disimpulkan/disepakati:
1. ...........................................................................................................
2. ...........................................................................................................
3. ...........................................................................................................
4. dst
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