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[null,"GAMBAR RENCANA KERJA ...................."]
[null,"DESA ...................."]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Skala 1 : ......................"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Kepala Seksi/Kepala Urusan ...................."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Desa ..................."]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"tanda tangan,"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"nama lengkap"]