The World Bank WORLD BANK OFFICE, JAKARTA

INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT ISXB Tower 2, Jl. Jend. Sudirman Kav. 52-53, Jakarta 12190
INTERNATIONAL DEVELOPMENT ASSOCIATION Telephone: (62-21) 52993000  Facsimile: (62-21) 52993111

OFFICIAL RECEIPT
(Tanda Terima)

Received by: (Dr. Agus Widiatmo, M.Si)

(Diterima oleh ) Full name ( Nama Lengkap)

Phone Number (081378171508)

(No Hp)

Unit (BBPPKS Padang)

Dept/Unit/Prov

Received from: The World Bank

(Diterima dari)

Description:
(Keterangan) Data Package for Training of Trainers FDS Welfare and Self-
Sufficient Family Module ( P2K2 Workshop 21-29 July 2021)

In the amount of: IDR 500.000 (Total)

(Sejumlah)

Jakarta, 29, July 2021

Given by, Received by,

(Diberikan oleh) (Diterima oleh)

Rizky Fitriany (Dr. Agus Widiatmo, M.Si)

World Bank Indonesia Signature &Full Name
(Tanda Tangan/Nama Lengkap)

 P.O. Box 1324/JKT, Jakarta 10013  Telex: IBRDIA 60086  Headquarters: The World Bank, Washington DC, USA