JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
E-NOTULEN D3 GIZI POLTEKKES PALEMBANG
Jika Sudah Mengisi, Untuk Download PDF Notulen Klik Link Dibawah ini :
(Tunggu 5 Menit Jika Belum Keluar Otomatis) :
https://drive.google.com/drive/folders/193EsRAhO_WccyE14wS-ApgOKDeHMD6cu?usp=sharing
Sign in to Google
to save your progress.
Learn more
* Required
Agenda
*
Your answer
Tanggal
*
Contoh Pengisian = 01 Juli 2020
Your answer
Hari
*
Choose
Senin
Selasa
Rabu
Kamis
Jum'at
Sabtu
Minggu
Waktu
*
Contoh Pengisian = 11.30 WIB - Selesai
Your answer
Sifat Rapat
*
Biasa
Penting
Tempat
*
Ruang Rapat Direktorat
Ruang Direktur
Ruang Wadir 1
Ruang Wadir 2
Ruang Wadir 3
Hasil Rapat
*
note : maksimal 40 kali enter ke bawah !
Your answer
Catatan
*
Your answer
Dibuat Oleh
*
Contoh : Daniel Sumarno, S.Kep., M.Kes
Your answer
NIP Pembuat
*
Contoh Pengisian : NIP. 19700202199211001
Your answer
Disetujui Oleh
*
Contoh : Eka Sukirman, Apt., M.Kes
Your answer
NIP
*
Contoh Pengisian : NIP. 19700202199211001
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Poltekkes Kemenkes Palembang.
Report Abuse
Forms