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Pamitan
                              Juru bicara Kel. CPP                : ...............................................................
                              Juru bicara Kel. CPW                : ...............................................................

                      Koordinator Acara                           :

                  5.  ACARA AKAD NIKAH


                      Pembawa Acara ( MC )                        : Bapak Teguh

                                                                    Hp ........................................................

                       Kediaman transit untuk CPP dan keluarga
                       CPP                                        :...............................................................


                       Penerima Tamu                              : 1. .........................................................

                                                                    2. .......... .................................................
                      Pembawa Mas Kawin                           : Sdri.........................................................

                                                                    ( Keluarga CPP )
                      Pendamping CPP                              :1. Bpk.....................................................
                                                                   2. Bpk.....................................................

                       Saksi CPP                                  : Bpk........................................................
                      Pendamping CPW                              :1. Ibu......................................................
                                                                   2. Ibu......................................................


                           Saksi CPW                               : Bpk. DR. H.M. SYARIFUDIN,S.H., M.H

                                                                    : Bpk. H. SAID MUNJI, S.H., M.H


                       Penghulu KUA         ( Kec. SLEMAN)

                                                                  : 1. .........................................................


                                                                    Hp ..........................................................

                                                                    2. .........................................................


                                                                    Hp ..........................................................
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