Form Pengajuan Program Vontrip

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Form Pengajuan Program Vontrip

Kode Lokasi

Kabupaten, Kecamatan, Desa

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Deskripsi Lokasi*

Kondisi infrastruktur terkini

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Permasalahan dan Potensi*

Bidang yang perlu dibantu dan dikembangkan

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Usulan Judul Program

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Nama Penanggung Jawab

Person in charge

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Deskripsi Program*

Termasuk tujuan, manfaat, dan sasaran

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Lokasi Detail

RT/RW/Dusun

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Timeframe Pelaksanaan Program

Tanggal pelaksaan program (awal-akhir)

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Sumberdaya yang dibutuhkan*

Bantuan logistik untuk mendukung program berjalan

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Status Program*

Menunggu

On Going

Selesai

Extended

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