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EVALUASI

KESESUAIAN JADUAL MINGGUAN PELAKSANAAN KEGIATAN

PERIODE …………S/D………….

No KEGIATAN JADUAL YG KESESUAIAN PELAKSANAAN PETUGAS KETERANGAN

DIRENCAKANA MONITORING
TGL TGL TGL TGL TGL TGL
UKP
1
2
3
4

UKM
1

JIKA SESUAI BERIKAN TANDA √

JIKA TIDAK SESUAI BERIKAN TANDA X, DAN DIISI ALASAN PADA KOLOM KETERANGAN

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