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Nama Desa

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NAMA DESA : ...............................................................................................................

NAMA BHABINKAMTIBMAS : ...............................................................................................................


NO HP BHABINKAMTIBMAS : ...............................................................................................................
ALAMAT BHABINKAMTIBMAS : ...............................................................................................................
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NAMA KEPALA DESA : ...............................................................................................................
NO HP KEPALA DESA : ...............................................................................................................
JUMLAH PENDUDUK : ...............................................................................................................
ALIRAN AGAMA : ...............................................................................................................
JUMLAH MASJID : ...............................................................................................................
NAMA DAN ALAMAT MASJID : ...............................................................................................................
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JUMLAH SEKOLAH DAN NAMANYA
SD : ...............................................................................................................
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SMP : ...............................................................................................................
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SMA / SMK : ...............................................................................................................
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KERAWANAN : ...............................................................................................................
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KONFLIK : ...............................................................................................................
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JUMLAH ANGGOTA LINMAS : ...............................................................................................................
JUMLAH POLMAS : ...............................................................................................................
JUMLAH PAM SWAKARSA : ...............................................................................................................
JUMLAH REDAWAN : ...............................................................................................................
POLITIK : ...............................................................................................................
PARTAI : ...............................................................................................................
NAMA ANGGOTA DEWAN : ...............................................................................................................
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JUMLAH POS KAMLING : ...............................................................................................................
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BUDAYA GIAT MASYARAKAT : ...............................................................................................................
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JUMLAH ORMAS / LSM DAN
NAMANYA : ...............................................................................................................
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JUMLAH KOMUNITAS
MOTOR DAN NAMANYA : ...............................................................................................................
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JUMLAH KOMUNITAS
BOBOTOH / VIKING : ...............................................................................................................
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