Laporan Pengawasan Umum
Laporan Pengawasan Umum
I. Dasar
Surat Perintah Tugas Nomor :
II. Petugas yang melakukan Pengawasan
1. Nama :
NIP :
Pangkat/Gol/Ruang :
Jabatan :
Unit/Instansi :
2. Nama :
NIP :
Pangkat/Gol/Ruang :
Jabatan :
Unit/Instansi :
III. Objek Pengawasan
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IV. Pelaksanaan Pengawasan
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V. Hasil Pengawasan
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VI. Kesimpulan
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Sukabumi,
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NIP . NIP.