BUKU
PENGUMUMAN
TAHUN
: ...............
NAMA KIM :
........................................................................
DESA/KELURAHAN :
........................................................................
KECAMATAN :
........................................................................
KABUPATEN/KODYA/KOTA :
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A. PETUNJUK
PENGISIAN
Buku ini digunakan oleh ketua KIM untuk memberitahukan
sesuatu yang penting kepada anggota
B. TEKNIS
PENGISIAN
Baris 1 :
diisi menurut urutan pengumuman
Baris 2 :
diisi hari dan tanggal dibuatnya pengumuman
Baris 3 :
diisi dengan memilih salah satu pernyataaan,
dinas/penting/amat penting / amat segera /
segera
/ biasa dan coret yang tidak perlu
Baris 4 :
tulis singkat apa saja yang diumumkan
Nomor 5 : ada 3
kolom pengisian
Kolom nomor : cukup jelas
Kolom nama : nama yang
diberi pengumuman
Kolom paraf : cukup jelas
LEMBAR
PENGUMUMAN
Nomor
Pengumuman :
................................................................................................
Hari
/ tanggal :
................................................................................................
Sifat
Pengumuman : Dinas /
Penting / Amat Segera / Segera / Biasa
Pengumuman
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|
|
|
Ketua KIM
..................................................
|
Telah
membaca dan siap melaksanakan
|
No
|
Nama
|
Paraf
|
No
|
Nama
|
Paraf
|
|
1
|
|
|
11
|
|
|
|
2
|
|
|
12
|
|
|
|
3
|
|
|
13
|
|
|
|
4
|
|
|
14
|
|
|
|
5
|
|
|
15
|
|
|
|
6
|
|
|
16
|
|
|
|
7
|
|
|
17
|
|
|
|
8
|
|
|
18
|
|
|
|
9
|
|
|
19
|
|
|
|
10
|
|
|
20
|
|
|
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