Page 90 - PANDUAN PELAYAN ADMINISTRASI OFS
P. 90

Form B.4.

                                                 LAPORAN TAHUNAN
                                              Tahun: ...................................

               A.  PROFIL REGIO:
                   1.  Nama Regio                  : .......................................................................................
                   2.  Santo/a Pelindung Regio     : .......................................................................................
                   3.  Berdiri sejak  : tgl ........................... Bulan .............................. Tahun .........................
                   4.  Alamat Sekarang             : .......................................................................................
                       .........................................................................................................................................
                       Kode Pos      : ....................................... Kecamatan   : .......................................
                       Kabupaten     : ....................................... Provinsi     : .......................................
                       No. Telp      : ....................................... No. HP      : .......................................
                       Fax           : ....................................... Email      : .......................................
                   5.  Daerah pelayanan Regio ini meliputi Kabupaten ...........................................................
                       Provinsi ...........................................................................................................................
                       Wilayah Gerejani Keuskupan .........................................................................................
                   6.  Susunan Dewan Regio saat ini, tahun ........................ s/d tahun ....................................
                       Minister             : ....................................................................................................
                       Wakil Minister       : ....................................................................................................
                       Formator             : ....................................................................................................
                       Sekretaris           : ....................................................................................................
                       Bendahara            : ....................................................................................................
                       Komisi/ Seksi        : ....................................................................................................
                                              ....................................................................................................
                   7.  Pendamping Rohani,
                       Nama          : ................................................................................................................
                       Alamat        : ................................................................................................................
                       ..........................................................................................................................................
                       No. Telp.     : ...................................................... HP   : ........................................
                       Fax           : ...................................................... Email   : ........................................

                   8.  PERSAUDARAAN LOKAL yang ada sekarang:
                        NO  NAMA                       STATUS       MINISTER  ALAMAT            KET
                             PERSAUDARAAN
                        1
                        2
                        3
                        4
                        5
                        6
                        7
                        8
                        9
                        10
                        11



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