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B. DATA KEANGGOTAAN:
NO NAMA ASPR POST NOVS PFSM PFKK JMLH
PERSAUDARAAN L P L P L P L P L P L P
1
2
3
4
5
6
7
8
9
10
Anggota yang tidak aktif: Profesi ..................................................... orang.
Profesi Sementara ................................... orang.
Novis ..................................................... orang.
Postulan .................................................. orang.
Alasan tidak aktif : ...........................................................................................................
Daftar lengkap anggota dilampirkan.
C. KEGIATAN REGIO: (boleh ditambahkan lampiran, jika perlu)
1. BIDANG ORGANISASI : .............................................................................................
.........................................................................................................................................
.........................................................................................................................................
2. BIDANG PEMBINAAN / PENDIDIKAN : ..................................................................
.........................................................................................................................................
.........................................................................................................................................
3. BIDANG ADMINISTRASI / SEKRETARIAT : ..........................................................
.........................................................................................................................................
.........................................................................................................................................
4. BIDANG KERASULAN/AKSEPTASI : ......................................................................
.........................................................................................................................................
.........................................................................................................................................
5. BIDANG DANA/KEUANGAN : ..................................................................................
.........................................................................................................................................
.........................................................................................................................................
6. BIDANG LAIN-LAIN : .................................................................................................
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.........................................................................................................................................
D. PERMASALAHAN YANG ADA PADA SAAT INI:
...............................................................................................................................................
...............................................................................................................................................
E. USUL / SARAN : ................................................................................................................
...............................................................................................................................................
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