BERITA ACARA

MUSYAWARAH HUTA ………. (diisi sesuai nama huta)

DALAM RANGKA PENYUSUNAN RPJM NAGORI
TAHUN 2023 – 2029
Berkaitan dengan pelaksanaan kegiatan Pengkajian Keadaan Nagori, di Nagori Marihat Bukit
Kecamatan Gunung Malela Kabupaten Simalungun Provinsi Sumatera Utara dalam rangka Penyusunan
RPJM Nagori Tahun 2023 – 2029, maka pada hari ini:

Hari dan Tanggal : ………………………………………

Jam : ………………………………………
Tempat : ………………………………………

telah diadakan kegiatan kegiatan musyawarah huta……, yang telah dihadiri oleh wakil-wakil
kelompok, huta dan tokoh masyarakat, serta unsur lain yang terkait Nagori sebagaimana tercantum
dalam daftar hadir terlampir.

Materi yang dibahas, serta yang bertindak selaku unsur pimpinan rapat dan narasumber dalam
membahas kegiatan pengkajian keadaan Nagori (PKN) melalui musyawarah Huta adalah:

A. Materi
1. Pemetaan Potensi dan masalah;
2. Pengkajian dan Pemeringkatan Tindakan Potensi dan Masalah; dan
3. Serap aspirasi/gagasan masyarakat.

B. Unsur Pimpinan Rapat dan Narasumber

Pemimpin Musyawarah : …..……………………..................................... dari
Gamot
Notulen : …..……………………..................................... dari Wakil
Gamot
Narasumber : 1. …..……………………................................. dari
Maujana
2. …..……………………................................ dari
LPMN
3. …..……………………................................ dari Kaur
Ekbang
4. …..…………………….................................... dari ..........
Setelah dilakukan pembahasan dan diskusi terhadap materi, selanjutnya seluruh peserta musyawarah
huta menyepakati beberapa hal yang berketetapan menjadi kesepakatan akhir dari musyawarah huta
yaitu:

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Keputusan diambil secara musyawarah mufakat/aklamasi dan pemungutan suara/voting.

Demikian Berita Acara ini dibuat dan disahkan dengan penuh tanggungjawab agar dapat dipergunakan
sebagaimana mestinya.

Marihat Bukit, ....................... 2023

Pimpinan Musyawarah Notulen,

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Mengetahui dan Menyetujui

Pangulu Marihat Bukit Wakil Masyarakat

SYAHRUL GINTING.S.AMK ..........................................

 NOTULENSI

Agenda Kegiatan : Musyawarah Huta ................

Hari dan Tanggal : ………………, ……, …………… 2023
Jam : .......................... s.d. selesai
Notulen:
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Marihat Bukit, ..... - ..... – 2023

 Notulis,

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DAFTAR HADIR
MUSYAWARAH HUTA
DALAM RANGKA PENYUSUNAN RPJM NAGORI
TAHUN 2023 – 2029

Hari/Tanggal : ............., ....................... 2023

Jam : .................... WIB
Tempat : ................................................
Jumlah Peserta : .............. orang
Laki-laki : ................ orang, Perempuan : ................ orang
JABATAN/
NO NAMA L/P ALAMAT TANDA TANGAN
UNSUR
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NO NAMA L/P ALAMAT TANDA TANGAN
UNSUR
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NO NAMA L/P ALAMAT TANDA TANGAN
UNSUR
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Mengetahui, Marihat Bukit, ....................... 2023
Gamot Notulen,

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