3.3.6 Formulir MOM - R

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NO.

FORM :

MINUTE OF MEETING
PAGE :1/2

TITLE OF MEETING DISTRIBUTION : ........................................


: DATE AND TIME ........................................
: VENUE : ........................................
ORGANIZER
:

APPROVED:
SUMMARIZED BY: CHAIRMAN,
NOTULIS,

........................................
........................................

PARTICIPANTS : 1. ..................nama............... ......unit..... 11. ....................................... .................


2. .......................................... ................. 12. ....................................... .................
3. .......................................... ................. 13. ........................................ .................
4. .......................................... ................. 14. ........................................ .................
5. .......................................... ................. 15. ........................................ .................
6. .......................................... ................. 16. ........................................ .................
7. ......................................... ................. 17. ....................................... .................
8. .......................................... ................. 18. ........................................ .................
9. .......................................... ................. 19. ........................................ .................
10. .......................................... ................. 20. .......................................... ................

ABSENT : 1. ..................nama............... ......unit..... 11. ....................................... .................


2. .......................................... ................. 12. ....................................... .................
3. .......................................... ................. 13. ........................................ .................
4. .......................................... ................. 14. ........................................ .................
5. .......................................... ................. 15. ........................................ .................
6. .......................................... ................. 16. ........................................ .................
7. ......................................... ................. 17. ....................................... .................
8. .......................................... ................. 18. ........................................ .................
9. .......................................... ................. 19. ........................................ .................
10. .......................................... ................. 20. .......................................... ................

TOPIK UIC/ KETERANGAN


NO BAHASAN/PROBLEM SOLUSI TARGET
PIC

FI.011‐2021/Rev.0
NO. FORM :

MINUTE OF MEETING
PAGE :2/2

FI.011‐2021/Rev.0

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