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  • Buku Tamu Dinas

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    Setiawan Arif Wijayanto
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    BUKU TAMU DINAS

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    15 views1 page

    Buku Tamu Dinas

    Uploaded by

    Setiawan Arif Wijayanto

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Nomor : ……………..…………….…..

    Nama Sekolah : SMAN 2 Cikarang Selatan

    Tanggal : ……………..…………….….. Alamat : Perum Bumi Cikarang Makmur

    Blok D RT 001/004 Ds. Sukadami

    Identitas Tamu :

    No. Nama NIP Jabatan Alamat


    1
    2
    3
    4
    5

    Maksud Kunjungan :

    ……………..…………………………………………………………………………………………………….
    ……………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………

    Diterima oleh :

    ……………..…………………………………………………………………………………………………….
    ……………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………

    Catatan/Kesan dan Pesan Tamu :

    ……………..…………………………………………………………………………………………………….
    ……………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………

    Cikarang Selatan, …………………………. 20……

    Mengetahui

    Kepala SMAN 2 Cikarang Selatan Tanda Tangan Tamu

    1. ……………………………………………………

    2. ……………………………………………………

    3. ……………………………………………………

    SADIKIN, S.Pd., M.M. 4. ……………………………………………………


    NIP. 19690217 199103 1 004

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