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SUSUNAN PENGURUS BINA KELUARGA REMAJA (BKR) NO



NAMA



UMUR



ALAMAT



PENDIDIKA N



BIDANG TUGAS



KETERANGAN



PROGRAM KERJA BINA KELUARGA REMAJA (BKR) TAHUN : N O



URAIAN KEGIATAN



BULAN JAN



1



Pendataan Anggota BKR



2



Pertemuan/Penyuluhan



3



Kunjungan rumah



4



Merujuk/Membuat Rujukan



5



Pencatatan dan Pelaporan



6



Olahraga/Senam Bersama



7



Pelatihan Ketrampilan



8



Pelatihan Kesenian



9



Rekreasi



FEB



MAR



APR



MEI



JUNI



JULI



KET AGT



SEPT



OKT



NOP



DES



DAFTAR ANGGOTA BINA KELUARGA REMAJA (BKR) ORANG TUA NO



PENDIDIKAN NAMA IBU/BAPAK



ALAMAT



PEKERJAAN



UMUR IBU



BAPAK



IBU



BAPAK



PESERTA KB



NAMA



REMAJA JENIS UMUR KELAMIN



KET PENDIDIKAN



DAFTAR HADIR ANGGOTA BINA KELUARGA REMAJA (BKR) NO



NAMA



UMUR



BULAN



ALAMAT JAN



FEB



MAR



APR



MEI



JUNI



JULI



KET AGT



SEP



OKT



NOP



DES



BUKU KEGIATAN BINA KELUARGA REMAJA (BKR) N O



TGL/BLN/TAHUN



NAMA



JABATAN



URAIAN KEGIATAN



TANDA TANGAN



BUKU DAFTAR HADIR KADER BINA KELUARGA REMAJA (BKR) ...................................... N O



HARI/TGL



NAMA



INSTANSI



ALAMAT



KEPERLUAN



TANDATANGAN



BUKU TAMU BINA KELUARGA REMAJA (BKR) NO



TANGGAL



NAMA



ALAMAT/JABATAN



KEPERLUAN



KESAN DAN PESAN



TANDATANGAN



BUKU NOTULEN BINA KELUARGA REMAJA (BKR)



HARI/TANGGAL



:



JAM



:



TEMPAT



:



JUMLAH YG HADIR :



1. PEMBUKAAN ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................



2. ISI ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................



3. KESIMPULAN ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................



4. PENUTUP ...................................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................



Surakarta,........................... Notulis,



BUKU ADMINISTRASI BKR



1. 2. 3. 4. 5. 6. 7.



BUKU SUSUNAN PENGURUS BUKU PROGRAM KERJA BUKU DAFTAR ANGGOTA BKR BUKU HADIR ANGGOTA BKR BUKU KEGIATAN BUKU TAMU BUKU NOTULEN SEDANGKAN BILA DIMUNGKINKAN DITAMBAHI DENGAN BUKU KAS SESUAI DENGAN KEBUTUHAN.



BUKU SUSUNAN PENGURUS NO



NAMA



UMUR



ALAMAT



PENDIDIKAN



BID



BUKU PROGRAM KERJA N O



BULAN URAIAN KEGIATAN JAN



PEB



MAR



APR



MEI



JUNI



JULI



BUKU DAFTAR ANGGOTA NO



NAMA



UMUR



ALAMAT



PENDIDIKAN



KESERTAA



BUKU DAFTAR ANGGOTA BKR NO



NAMA



UMUR



ALAMAT



BULAN JAN



PEB



MAR



APR



MEI



JUNI



JULI



BUKU KEGIATAN NO



TGL/BLN/TAHUN



NAMA



JABATAN



URAIAN KEGIAT



BUKU TAMU NO



TANGGAL



NAMA



ALAMAT/JABATAN



BUKU NOTULEN



KEPERLUAN