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Format Naskah Surat Keterangan

KOP SURAT

SURAT KETERANGAN
No. AAA/RSA-CCC/KET/EEE/FFFF

Dengan Hormat,
Yang bertanda tangan di bawah ini :
Nama : .......................................................................................................................
Jabatan : .......................................................................................................................
Instansi : .......................................................................................................................
Alamat : .......................................................................................................................

Menerangkan bahwa :
Nama : .......................................................................................................................
Jabatan : .......................................................................................................................
Instansi : .......................................................................................................................
Alamat : .......................................................................................................................

Maksud
............................................................................................................................................................
............................................................................................................................................................

Demikian surat keterangan ini kami buat untuk dapat dipergunakan sebagaimana mestinya.

Kota/ Kabupaten, tanggal
Hormat Kami,

Nama Lengkap
Nama Jabatan dan instansi