1.Lagu INDONESIA RAYA.
2. Lagu MARS PKK.
3. PROFIL KETUA PKK RW: Nama, Suami, TTL, Alamat Sekretariat, Alamat Rumah, Motto.
4. Demografis RW: Luas ... m persegi, .. RT, Batas (Selatan, Utara, Barat, Timur). Penduduk ... (Ketua RW ...), Posyandu ... (Ketuanya: ...), Posbindu ... (Ketuanya: ...), Masjid ..., Pusat Kesehatan Masyarakat ....
5. Struktur PKK RW: Ketua, Sekretaris, Bendahara, Anggota I, Anggota II, Anggota III, Anggota IV
6. Paparan Ketua PKK RW: Jabaran tugas dari PKK Pusat/Kelurahan, Proram Unggulan RW
ANGGOTA I
Data kegiatan Tim Penggerak PKK RW … Kelurahan … Tahun ….
|
NO |
RT |
JUMLAH KADER |
PENGHAYATAN DAN PENGAMALAN PANCASILA |
GOTONG ROYONG |
KETERANGAN |
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|
PKBN |
PKDRT |
POLA ASUH |
PKBN |
PKDRT |
POLA ASUH |
LANSIA |
JML KELOMPOK |
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|
JML KLP SIMULASI |
JML ANGGOTA |
JML KLP SIMULASI |
JML ANGGOTA |
JML KLP SIMULASI |
JML ANGGOTA |
JML KLP SIMULASI |
JML ANGGOTA |
KERJA BAKTI |
RUKUN KEMATIAN |
KEAGAMAAN |
JIMPITAN |
ARISAN |
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1 |
1 |
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2 |
2 |
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3 |
3 |
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4 |
4 |
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5 |
5 |
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6 |
6 |
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7 |
7 |
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8 |
8 |
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9 |
9 |
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TOTAL |
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ANGGOTA II
Data kegiatan Tim Penggerak PKK RW … Kelurahan … Tahun ….
|
NO |
RT |
PENDIDIKAN DAN KETERAMPILAN |
PENGEMBANGAN KEHIDUPAN BEROPERASI |
KETERANGAN |
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|
JML WARGA YANG MASIH BUTA 3 WARNA |
PAKET A |
PAKET B |
PAKET C |
KF |
JML TAMAN BACAAN PERPUSTAKAAN |
BKB |
KADER KHUSUS |
JML KADER YANG SUDAH DIKLAT |
PRA KOPERASI USAHA BERSAMA / UP 2 K |
KOPERASI BERBADAN |
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|
KELOMPOK BELAJAR |
WARGA BELAJAR |
KELOMPOK BELAJAR |
WARGA BELAJAR |
KELOMPOK BELAJAR |
WARGA BELAJAR |
KELOMPOK BELAJAR |
WARGA BELAJAR |
JML KJP |
JML IBU PESERTA |
JML APE (SET) |
JML KJP SIMULASI BKB |
TUTOR KF |
TUTOR PAUD SEJENIS |
BKB |
KOPERASI |
KETERAMPILAN |
LP3PKK |
TPK3PKK |
DAMAS PKK |
PEMULA JML KJP |
PEMULA PESERTA |
MADYA JML KJP |
MADYA PESERTA |
UTAMA JML KJP |
UTAMA PESERTA |
JML KJP |
JML ANGGOTA |
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1 |
1 |
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2 |
2 |
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3 |
3 |
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4 |
4 |
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5 |
5 |
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6 |
6 |
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7 |
7 |
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8 |
8 |
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9 |
9 |
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TOTAL |
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ANGGOTA III
Data kegiatan Tim Penggerak PKK RW … Kelurahan … Tahun ….
|
NO |
RT |
JML KADER |
PANGAN |
JML INDUSTRI RUMAH TANGGA |
JML RUMAH |
KETERANGAN |
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|
PANGAN |
SANDANG |
TATA LAKSANA RUMAH TANGGA |
MAKANAN POKOK |
PEMANFAATAN PEKARANGAN / HATI PKK |
PANGAN |
SANDANG |
JASA |
SEHAT DAN LAYAK HUNI |
TIDAK SEHAT DAN TIDAK LAYAK HUNI |
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|
BERAS |
NON BERAS |
PETERNAKAN |
PERIKANAN |
WARUNG HIDUP |
LUMBUNG HIDUP |
TOGA |
TANAMAN KERAS |
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1 |
1 |
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2 |
2 |
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3 |
3 |
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4 |
4 |
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5 |
5 |
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6 |
6 |
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7 |
7 |
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8 |
8 |
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9 |
9 |
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TOTAL |
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ANGGOTA IV
Data kegiatan Tim Penggerak PKK RW … Kelurahan … Tahun ….
|
NO |
RT |
JUMLAH KADER |
KESEHATAN |
KELESTARIAN LINGKUNGAN HIDUP |
PERENCANAAN SEHAT |
KETERANGAN |
|||||||||||||||||||
|
POSYANDU |
JUMLAH RUMAH YANG MEMILIKI |
JUMLAH MCK |
JUMLAH KRT YANG MENGGUNAKAN AIR |
JUMLAH PUB |
JUMLAH WUS |
JUMLAH AKSEPTOR KB |
JUMLAH YANG MEMILIKI TABUNGAN KELUARGA |
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|
POSYANDU |
GIZI |
KESLING |
PENYULUHAN NARKOBA |
PHBS |
KB |
JUMLAH |
TERINTEGRASI |
LANSIA |
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|
JUMLAH KELOMPOK |
JUMLAH ANGGOTA |
JML YANG MEMILIKI KARTU BEROBAT GRATIS |
JAMBAN |
SPAL |
TEMPAT PEMBUANGAN SAMPAH |
PDAM |
SUMUR |
LAIN-LAIN |
L |
P |
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1 |
1 |
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2 |
2 |
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3 |
3 |
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4 |
4 |
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5 |
5 |
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6 |
6 |
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7 |
7 |
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8 |
8 |
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9 |
9 |
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TOTAL |
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7. Dokumentasi kegiatan
