DAFTAR KELUARGA MISKIN
DESA                :
……………………….
KECAMATAN  : …………………..
| 
   
NO 
 | 
  
   
NAMA KEPALA KELUARGA 
 | 
  
   
JUMLAH ANGGOTA KELUARGA 
 | 
  
   
DESA / KELURAHAN 
 | 
  
   
PEKERJAAN 
 | 
  
   
KETERANGAN 
 | 
 
| 
   
1. 
 | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   
2. 
 | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   
3. 
 | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   
4. 
 | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   
5. 
 | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   
6. 
 | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   
7. 
 | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   
8. 
 | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   
9. 
 | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   
10 
 | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   
dst 
 | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
| 
   | 
  
   | 
  
   | 
  
   | 
  
   | 
  
   | 
 
KEPALA DESA WAETAHINA
No comments:
Post a Comment