surat keterangan rt

2
SURAT KETERANGAN RUKUN TETANGGA (RT)/RUKUN WARGA (RW) Nomor:.............................. Saya yang bertanda tangan dibawah ini, menerangkan : 1. Nama :................................................... .............................................................. ..... 2. Pekerjaan :................................................... .............................................................. ..... 3. Alamat :............................................. .............................................................. ........... ................................................... .................................................... ............... 4. No. HP :........................................................ .............................................................. Adalah Orang Tua/Wali dari : 1. Nama :................................................... .............................................................. ..... 2. No Peserta :........................................................ ..............................................................

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Page 1: Surat Keterangan Rt

SURAT KETERANGAN

RUKUN TETANGGA (RT)/RUKUN WARGA (RW)

Nomor:..............................

Saya yang bertanda tangan dibawah ini, menerangkan :

1. Nama :......................................................................................................................

2. Pekerjaan :......................................................................................................................

3. Alamat :......................................................................................................................

......................................................................................................................

4. No. HP :......................................................................................................................

Adalah Orang Tua/Wali dari :

1. Nama :......................................................................................................................

2. No Peserta :......................................................................................................................

3. Program Studi :......................................................................................................................

4. Fakultas :......................................................................................................................

Dengan ini menyatakan, bahwa penghasilan orang tua yang bersangkutan sebesar Rp......................

Per bulan. Surat keterangan ini diberikan kepada yang bersangkutan untuk keperluan:.....................

..............................................................................................................................................................

Demikian surat keterangan ini dibuat untuk dapat dipergunakan sebagaimana mestinya,

Jatiyoso,...................................

Ketua Rukun Tetangga

Sularto

Kepala Dusun

Sakimin