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Penggalian Gagasan/ Usulan Program Kegiatan dari  Masyarakat Nagari
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Bidang / Jenis Kegiatan/ Program yang diusulkan
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Nama Gagasan Kegiatan/ Usulan Rencana Kegiatan/Program : 

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Pengusul
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Nama Lokasi Kegiatan
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Perkiraan Volume
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Satuan
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Jumlah Penduduk Laki-laki
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Jumlah Penduduk Perempuan
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Jumlah Anggota Rumah Tangga Miskin (A-Rtm)
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