Laporan Pelaksanaan Kegiatan.docx
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RSU HARAPAN IBU PURBALINGGA Jl. May. Jend. Soengkono KM.1, Jl. Soekarno – Hatta No. 2 Telp. ( 0281 ) 892277 / 892222, Fax. ( 0281 ) 893031 Purbalingga Email : [email protected]
LAPORAN PELAKSANAAN KEGIATAN Bagian / Unit Kerja
: ..........................................................................................
Nama / Utusan
: ..........................................................................................
A. Nama Kegiatan ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... B. Penyelenggara Kegiatan ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... C. Waktu dan Tempat Pelaksanaan Kegiatan ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... D. Tujuan ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... E. Capaian Kegiatan ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... F. Bukti Pelatihan ( Terlampir ) ..................................................................................................................... ..................................................................................................................... .....................................................................................................................
Mengetahui, Ketua DIKLAT
................................................. NIK.
......................., ....................... Penyelenggara Kegiatan
............................................... NIK / NIP.
LAPORAN PELAKSANAAN KEGIATAN Bagian / Unit Kerja
: ..........................................................................................
Nama / Utusan
: ..........................................................................................
A. Nama Kegiatan ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... B. Penyelenggara Kegiatan ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... C. Waktu dan Tempat Pelaksanaan Kegiatan ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... D. Tujuan ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... E. Capaian Kegiatan ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... F. Bukti Pelatihan ( Terlampir ) ..................................................................................................................... ..................................................................................................................... .....................................................................................................................
Mengetahui, Ketua DIKLAT
................................................. NIK.
......................., ....................... Penyelenggara Kegiatan
............................................... NIK / NIP.
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