BADAN PENASIHATAN, PEMBINAAN DAN PELESTARIAN PERKAWINAN ( BP.4 ) KANTOR URUSAN AGAMA KECAMATAN RANCAH KABUPATEN CIAMIS Jalan Kesehatan No. 28 Tlp. 2732432 Rancah 46387
BERITA ACARA BIMBINGAN PRANIKAH Yang bertandatangan di bawah ini, Ketua BP4 Kecamatan Rancah Kabupaten Ciamis, dengan ini Manugaskan Saudara : Nama NIP.
: Drs. Karsum Ariefin : 196305141993031001
Untuk melaksanakan Bimbingan Pra Nikah pada : SUAMI Nama NIK
: ASUY SURWA : 3207152805920001
ISTRI Nama NIK
: YUYUN SITI WAHYUNI : 3207156405970003
Ada Hari, Kamis, tanggal 01 Novmber 2018 bertempat di Kantor Urusan Agma Kecamatan Rancah dengan materi : 1. ...................................................................................................................................................... ...................................................................................................................................................... ....................................................................................................................................................... 2. ...................................................................................................................................................... ...................................................................................................................................................... ....................................................................................................................................................... 3. ...................................................................................................................................................... ...................................................................................................................................................... ....................................................................................................................................................... 4. ...................................................................................................................................................... ...................................................................................................................................................... ....................................................................................................................................................... 5. ...................................................................................................................................................... ...................................................................................................................................................... ....................................................................................................................................................... Rancah, 01 November 2018 Ketua BP4 Kecamatan Rancah
Drs. WAWAN, M.SI