PROGRAM DAERAH PEMBERDAYAAN MASYARAKAT
DESA MANDIRI (PDPM- DM)
KECAMATAN MARGASARI KABUPATEN TEGAL
TAHUN ANGGARAN 2014
BERITA ACARA
MUSYAWARAH/REMBUG PENYEPAKATAN
KEGIATAN
Berkaitan dengan
pelaksanaan Program Daerah Pemberdayaan Masyarakat Desa Mandiri (PDPM-DM) untuk
tahun anggaran 2014 di Desa
..................................................Kecamatan
Margasari
Kabupaten Tegal Propinsi Jawa Tengah pada:
Hari dan Tanggal :
...............................................................
Jam :
pukul ..............s/d pukul.....................
Tempat :
...............................................................
Telah
diselenggarakan Musyawarah/rembug warga penyepakatan kegiatan 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.
Materi atau Topik :
1. Penyepakatan kegiatan PDPM-DM tahun 2014
2. Pembentukan Kelompok Swadaya Masyarakat (KSM) .
3. Penyepakatan Rencana Penggunaan Dana (RPD)
B.
Unsur Pimpinan Rapat dan Narasumber
1. Pimpinan Rapat : …………………… dari...........................................
2. Sekretaris/Notulen :
………………….. dari…........................................
3. Nara
Sumber : 1. ………………..
dari……....................................
2. ………………… dari……………………………...
3. ………………… dari……………………………...
Setelah dilaksanakan
pembahasan dan diskusi terhadap materi atau topik di atas, selanjutnya
seluruh peserta memutuskan dan menyepakati beberapa hal yang berketetapan
menjadi keputusan akhir dari musyawarah mufakat/voting, yaitu:
1.
Penyepakatan Kegiatan PDPM-DM tahun 2014
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
2.
Pembentukan Kelompok Swadaya Masyarakat (KSM)
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
3.
Penyepakatan Rencana Penggunaan Dana (RPD)
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
.................................................................................................................................................... ....................................................................................................................................................
4.
Lain-lain
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
.................................................................................................................................................... .................................................................................................................................................... ....................................................................................................................................................
Keputusan diambil
secara :
Demikian Berita Acara ini
dibuat dengan penuh tanggung jawab agar dapat dipergunakan
sebagaimana mestinya.
Pimpinan Musyawarah Notulis/Sekretaris
……………………………
…………………………….
Mengetahui
Kepala
Desa
………………………………………….
Menyetujui
Wakil
dari Peserta
Musyawarah
|
No
|
Nama
|
Alamat
|
Jabatan
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Tanda Tangan
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1
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NOTULEN MUSYAWARAH/REMBUG PENYEPAKATAN KEGIATAN
Desa : .....................................
Tanggal : .....................................
Waktu : .....................................
A . Materi/Pokok
Bahasan
1. Penyepakatan Kegiatan PDPM-DM tahun 2014
2. Pembentukan Kelompok Swadaya
Masyarakat (KSM)
3. Penyepakatan Rencana Penggunaan
Dana (RPD)
B. Pimpinan musyawarah dan Notulis
Pemimpin : .....................................
Notulis : .....................................
C. Narasumber
..........................................................................................................................
D. Hasil Pembahasan
Notulis
(............................... )
|
DAFTAR
HADIR
|
||||
|
MUSYAWARAH/REMBUG PENYEPAKATAN
KEGIATAN
PDPM-DM TAHUN 2014
DESA .........................................KEC.MARGASARI KAB.TEGAL
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