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KEMENTERIAN AGAMA REPUBLIK INDONESIA

KANTOR WILAYAH KEMENTERIAN AGAMA


PROVINSI KALIMANTAN BARAT
Jalan Sutan Syahrir No.12 Pontianak
Telepon (0561) 732414; Faksimili (0561) 761746
Website : kalbar.kemenag.go.id

NOTA DINAS
NOMOR : ${nomor_naskah}

Yth : ${jabatan_tujuan}
Dari : ${jabatan_pengirim}
Hal : ${hal}
Tanggal : ${tanggal_naskah}

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${ttd_pengirim}
${nama_pengirim}

Tembusan :
1. ......
2. ......
3. ...... dst

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