Anda di halaman 1dari 5

BERITA ACARA

Pada hari ini Jum’at malam Sabtu Tanggal Lima Bulan Agustus Tahun Dua
Ribu Dua Puluh Dua Pukul Dua Puluh Waktu Indonesia Barat s/d selesai bertempat di
Balai Desa Sinar Rejeki Kecamatan Jati Agung Kabupaten Lampung Selatan, Telah
dilaksanakan acara :

Musyawarah Karang Taruna Memperingati HUT Kemerdekaan RI ke-77

yang dihadiri oleh Unsur :

1. Karang Taruna
2. BPD
3. Kepala Dusun
4. Kasi Pemberdayaan
5. Kaur Umum
6. Tokoh Pemuda
7. Poldes
Dll.

Daftar Hadir terlampir.

Materi atau topik yang dibahas dalam musyawarah ini serta yang bertindak selaku unsur
pimpinan rapat dan narasumber adalah :

A. Materi atau Topik

............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................

B. Unsur Pimpinan Rapat dan Narasumber

Pimpinan Rapat : .............................................................................................................................

Notulen : .............................................................................................................................

Narasumber : 1. .........................................................................................................................

2. .........................................................................................................................

3. .........................................................................................................................

4. .........................................................................................................................

5. .........................................................................................................................
Setelah dilakukan pembahasan dan diskusi terhadap materi atau topik di atas selanjutnya
seluruh peserta Musyawarah menyetujui serta memutuskan beberapa hal yang
berketetapan menjadi Keputusan Akhir dari Musyawarah yaitu :
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................

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

Sinar Rejeki, 05 Agustus 2022

Pimpinan Musyawarah, Notulen

___________________________ ___________________________

Menyetujui / Menyepakati
Wakil Kelompok Masyarakat

NO NAMA DARI UNSUR TANDA TANGAN

1 1 2

2
3 3 4

4
5 5 6

6
7 7 8

8
9 9 10

10

DAFTAR HADIR

Hari / Tanggal : Jum’at Malam Sabtu


Tempat : Balai Desa Sinar Rejeki
Acara : Musyawarah Karang Taruna Memperingati HUT Kemerdekaan
RI ke-77

Jabatan/
No Nama Alamat Tanda Tangan
Unsur dari
1 1

2 2
3 3

4 4
5 5

6 6
7 7

8 8
9 9

10 10
11 11

12 12
13 13

14 14
15 15

16 16
17 17

18 18
19 19

20 20
21 21

22 22
23 23

24 24
25 25

26 26
27 27

28 28
29 29

30 30
31 31

32 32
33 33

34 34
35 35

36 36
37 37

38 38
39 39

40 40

Jabatan/
No Nama Alamat Tanda Tangan
Unsur dari
41 1
2
42
43 3

44 4
45 5

46 6
47 7

48 8
49 9

50 10
51 11

52 12
53 13

54 14
55 15

56 16
57 17

58 18
59 19

60 20
61 21

62 22
63 23

64 24
65 25

66 26
67 27

68 28
69 29

70 30
71 31

72 32
73 33

74 34
75 35

76 36
77 37

78 38
79 39

80 40
81 41

82 42
83 43

84 44

Jabatan/
No Nama Alamat Tanda Tangan
Unsur dari
85 85

86 86
87 87
88
88
89 89

90 90
91 91

92 92
93 93

94 94
95 95

96 96
97 97

98 98
99 99

100 99
101 101

102 102
103 103

104 104
105 105

106 106
107 107

108 108
109 109

110 110
111 111

112 112
113 113

114 114
115 115

116 116
117 117

118 118
119 119

120 120
121 121

122 122
123 123

124 124
125 125

126 126
127 127

128 128

Anda mungkin juga menyukai