You are on page 1of 1

LAPORAN PERJALANAN DINAS

I. Dasar *) :
………………………………………………………………………………..

………………………………………………………………………………..
II. Surat Tugas Nomor : …... …………………………………..
III. Maksud dan Tujuan melaksanakan Perjalanan Dinas :
……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………

IV. Hasil / Kesimpulan


……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………
..
……………………………………………………………………………………………………………
.. …......................…, …..... …………2020
Yang Membuat Laporan,

__________________________

Catatan :
*) Dasar Surat Tugas dapat diisi Surat Undangan atau Pleno PPS

You might also like