Laporan Perjalanan Dinas Kosong

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LAPORAN PERJALANAN DINAS

I. Dasar : Surat perintah tugas Tanggal : 16 Maret 2012 Nomor : 870/407/406.032/2012 : : : : : : : : :

Maksud Tujuan Waktu Pelaksanaan Nama Petugas Daerah Tujuan/ Instansi yang Dikunjungi VI. Hadir Dalam Pertemuan VII. Petunjuk/ Arahan Yang Diberikan VIII. Masalah/ Temuan IX. Saran Tindakan X. Lain-lain

II. III. IV. V.

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