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Contoh Surat Keterangan Tidak Mampu (SKTM)

Beritasik.com

6 Feb, 2022

PEMERINTAH KABUPATEN AGAM
DESA MAJU BERSAMA
Alamat : Agam Telp/Hp : 222 3333 4444

Agam, 02 Februari 2022

SURAT KETERANGAN TIDAK MAMPU

NOMOR : 111/222/333/444/2022

Kepala   Desa   Maju   Bersama   Kecamatan   Teladan   Kabupaten   Agam   menerangkan   dengan sesungguhnya bahwa :

   Nama                               : EDI SUSILO
   Tempat / Tanggal Lahir   : Serang, 11 Oktober 1976
   Jenis Kelamin                   : Laki-laki
   Status                               : Kawin
   Agama                               : Islam
   Pekerjaan                           : Tani
   Alamat                               : Agam

Adalah benar orang tua / wali dari:

   Nama                               : Edi sutisna
   Tempat / Tanggal Lahir   : Agam, 12 Oktober 2011
   Jenis Kelamin                   : Laki-laki
   Status                               : Belum Kawin
   Agama                               : Islam
   Pekerjaan                           : Pelajar
   Alamat                               : Agam

Benar yang namanya tersebut di atas adalah penduduk Desa Maju Bersama Kecamatan Telada Kabupaten Agam Menurut sepengetahuan kami bahwa benar yang bersangkutan merupakan salah satu
dari keluarga kurang mampu / keluarga miskin.

Demikian Surat Keterangan Kurang Mampu ini dibuat dengan sebenarnya untuk yang bersangkutan dan kiranya dapat dipergunakan seperlunya.

Agam, 02 Februari 2022
Kepala desa

( BUDIMAN JAYA )

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