PROGRAM DAERAH PEMBERDAYAAN MASYARAKAT
DESA MANDIRI (PDPM- DM)
KECAMATAN MARGASARI KABUPATEN TEGAL
TAHUN ANGGARAN 2014
BERITA ACARA
MUSYAWARAH PERSIAPAN PELAKSANAAN
KONSTRUKSI
Berkaitan dengan pelaksanaan konstruksi
Program Daerah Pemberdayaan Masyarakat Desa Mandiri (PDPM-DM) untuk tahun
anggaran 2014 di Desa
..................................................KecamatanMargasari Kabupaten
Tegal Propinsi Jawa Tengah pada:
Hari dan Tanggal : ...............................................................
Jam :
pukul ..............s/d pukul.....................
Tempat : ...............................................................
Telah diselenggarakan Musyawarah Persiapan Pelaksanaan Konstruksi (MP2K)
PDPM-DM tahun 2014 yang dihadiri oleh wakil-wakil dari masyarakat desa serta
unsur lain yang terkait dengan pelaksanaan PDPM-DM sebagaimana tercantum dalam
lampiran daftar hadir.
Materi atau topik yang dibahas dalam forum ini serta yang bertindak selaku
unsur pimpinan rapat dan narasumber adalah :
A. MateriatauTopik :
1. Pemaparan
Rencana Pelaksanaan Pembangunan
2. Finalisasi
Rencana Operasi dan Pemeliharaan.
3. Proses Pelaksanaan
MP2K
4.
Pembentukan KPP
B. Unsur Pimpinan Rapat dan Narasumber
1. PimpinanRapat : ……………………dari............................................
2. Sekretaris/Notulen : ………………….. dari…........................................
3. Nara
Sumber : 1. ……………….. dari……....................................
2. ………………… dari…………………………….
3. ………………… dari…………………………….
Setelahdilaksanakanpembahasandan diskusi terhadapmateri atau topik di atas, selanjutnya seluruh
peserta memutuskan dan menyepakati beberapa hal yang berketetapan menjadi
keputusan akhir dari musyawarah mufakat/voting, yaitu:
1.
Rencana
Pelaksanaan Pembangunan
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2.
Rencana
Operasi dan Pemeliharaan
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3.
Proses
Pelaksanaan MP2K
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4.
Pembentukan
KPP
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5. Lain-lain
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Keputusan diambil secara :
DemikianBerita Acara inidibuatdenganpenuhtanggungjawab agar
dapatdipergunakansebagaimanamestinya.
PimpinanMusyawarahNotulis/Sekretaris Fasilitator
…………………………… ……………………………. Hani Priyanto Atika
Emilia
Mengetahui
KepalaDesa
………………………………………….
Menyetujui
Wakildari PesertaMusyawarah
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No
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Nama
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Alamat
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Jabatan
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TandaTangan
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1
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2
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3
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4
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5
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NOTULEN MUSYAWARAH PERSIAPAN PELAKSANAAN KONSTRUKSI
Desa :
.....................................
Tanggal :
.....................................
Waktu :
.....................................
A . Materi/Pokok Bahasan
1. Pemaparan Rencana Pelaksanaan Pembangunan
2.
Finalisasi Rencana Operasi dan Pemeliharaan
.
3. Proses
Pelaksanaan MP2K
4. Pembentukan KPP
B. Pimpinan
musyawarah dan Notulis
Pemimpin : .....................................
Notulis : .....................................
C.
Narasumber
..........................................................................................................................
D.
Hasil Pembahasan
Notulis
(............................... )
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