Contoh Berita Acara

Contoh Berita Acara

BERITA ACARA ..........................

NOMOR.......................

Pada hari ini ............................... tanggal .................... bulan ............ tahun ..................... bertempat di .............................., kami masing-masing::

1.   Nama              :   ..........................................................

      NIP                  :   ..........................................................

      Jabatan           :   ..........................................................

      Selanjutnya disebut Pihak Pertama,

2.   Nama              :   ............................................................

      NIP                  :   ............................................................

      Jabatan           :   ............................................................

      Alamat             :   ............................................................

                                  ............................................................

      Selanjutnya disebut Pihak Kedua.

Pasal 1

............................................................................................................................................................................................................................................................................

Pasal 2

............................................................................................................................................................................................................................................................................

Berita Acara ini dibuat dengan sesungguhnya dalam rangkap ............... untuk dipergunakan sebagaimana mestinya.

Pihak Kedua,                                                                  Pihak Pertama,

........................................                                                .................................................

NIP.                                                                                NIP.

Mengetahui/Mengesahkan,

....................................................

NIP