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\langfenp1033 \ul1 Tujuan penelitian}{\fs22 \dbch \af0 \hich \af7 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \ul1 \par }\pard \plain \qj \fi9
\cufi0 \li429 \culi195 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin429 \rin0 \itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Tujuan penelitian ini
adalah }{\fs22 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 mengetahui determinan dominan pernikahan dini pada wanita di
Kecamatan Samarinda
Utara.}{\fs22 \loch \af0 \hich \af0 \dbch \f2 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \fi-360
\li360 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin360 \rin0 \itap0 \ls2
\fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \loch \af7 \hich \af7 \dbch \af2
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs22 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \ul1 Keikutsertaan
sukarela }{\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \ul1 \par }\pard \plain \s16 \qj \li360 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin360 \rin0 \itap0 \fs22 \loch \af7
\hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Partisipasi Bapak/Ibu/Saudara/i dalam penelitian ini adalah sukarela tanpa paksaan.
Bapak/Ibu/Saudara/i berhak untuk menolak keikutsertaan dan berhak pula untuk
mengundurkan diri dari penelitian ini, meskipun Bapak/Ibu/Saudara/i sudah
menyatakan kesediaan untuk berpartisipasi. Tidak akan ada kerugian atau sanksi apa
pun yang akan Bapak/Ibu/Saudara/i alami akibat penolakan atau pengunduran diri
Bapak/Ibu/Saudara/i. Jika Bapak/Ibu/Saudara/i memutuskan untuk tidak berpartisipasi
atau mengundurkan diri dari penelitian ini, Bapak/Ibu/Saudara/i dapat melakukannya
kapan pun. }{\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \ul1 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7 \dbch
\af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af0 \hich
\af7 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s16 \fi-360 \li360 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\lin360 \rin0 \itap0 \ls2 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \loch \af7
\hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 3.\tab }
{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \ul1 Durasi (lama) penelitian, prosedur penelitian, dan tanggungjawab
partisipan }{\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \ul1 \par }\pard \plain \s16 \qj \li360 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin360 \rin0 \itap0 \fs22 \loch \af7
\hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Prosedur yang akan dilakukan dalam penelitian ini adalah/meliputi pengisian
kuesioner }{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 determinan pernikahan dini (tradisi masyarakat, pengetahuan, ekonomi,
nilai }{\i1 \fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 virginitas, }{\i0 \fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 pendidikan dan faktor orang tua)}{\fs22 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 yang
terdiri dari }{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 26}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 pertanyaan yang memakan waktu kurang lebih }
{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 5}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 menit. }{\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \ul1 \par }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7
\dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af0
\hich \af7 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s16 \fi-360 \li360 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\lin360 \rin0 \itap0 \ls2 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \loch \af7
\hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 4.\tab }
{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \ul1 Manfaat penelitian }{\fs22 \dbch \af0 \hich \af7 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \ul1 \par }\pard \plain \s16 \li360
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin360 \rin0 \itap0 \fs22 \loch
\af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Partisipasi Bapak/Ibu/Saudara/i dalam penelitian ini dapat memberikan
manfaat untuk Bapak/Ibu/Saudara/i/orang lain berupa}{\fs22 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 s}{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 ebagai salah
satu analisa data atau sumber informasi yang dapat digunakan untuk memberikan
tambahan informasi dan pengembangan untuk memaksimalkan pelayanan promotif terhadap
pasangan yang melakukan pernikahan usia dini dan kesehatan reproduksi remaja di }
{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Kecamatan Samarinda Utara}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 .}{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22
\loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s16 \fi-360 \li360 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \lin360 \rin0 \itap0 \ls2 \fs22 \loch \af7 \hich \af7 \dbch
\af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain
\fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 5.\tab }{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \ul1 Risiko dan ketidaknyamanan }{\fs22 \dbch
\af0 \hich \af7 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \ul1 \par
}\pard \plain \s16 \li360 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\lin360 \rin0 \itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Risiko dan ketidaknyamanan yang
mungkin terjadi adalah mengganggu waktu }{\fs22 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 antri pasien dan waktu kerja
petugas puskesmas }{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 kurang lebih 5 menit dalam pengisian kuesioner.}{\fs22
\dbch \af0 \hich \af7 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\ul1 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \fi-360 \li360
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin360 \rin0 \itap0 \ls2
\fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \loch \af7 \hich \af7 \dbch \af2
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 6.\tab }{\fs22 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \ul1 Kompensasi }
{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \ul1 \par }\pard \plain \s16 \qj \li360 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \lin360 \rin0 \itap0 \fs22 \loch \af7 \hich \af7
\dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Sebagai
kompensasi atau ganti rugi terhadap partisipan yang telah bersedia meluangkan
waktunya. Maka partisipan akan mendapatkan alat tulis yang akan diberikan setelah
pengisian kuesioner. }{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7
\dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af0
\hich \af7 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s16 \fi-360 \li360 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\lin360 \rin0 \itap0 \ls2 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \loch \af7
\hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 7.\tab }
{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \ul1 Kerahasiaan }{\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \ul1 \par }\pard \plain \s16 \qj \li360
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin360 \rin0 \itap0 \fs22 \loch
\af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Kami menjamin kerahasiaan seluruh data dan tidak akan mengeluarkan
atau mempublikasikan informasi tentang data diri Bapak/Ibu/Saudara/i tanpa ijin
langsung dari Bapak/Ibu/Saudara/i sebagai partisipan. Data akan disimpan dan hanya
bisa diakses oleh peneliti utama. }{\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \ul1 \par }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7
\dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af0
\hich \af7 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0
\itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af0 \hich \af7
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s16 \fi-360 \li360 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin360
\rin0 \itap0 \ls2 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \loch \af7 \hich \af7 \dbch
\af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 8.\tab }{\fs22 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \ul1
Klarifikasi }{\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \ul1 \par }\pard \plain \s16 \qj \li360 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin360 \rin0 \itap0 \fs22 \loch \af7
\hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Jika Bapak/Ibu/Saudara/i memiliki pertanyaan apapun terkait prosedur penelitian,
atau membutuhkan klarifikasi serta tambahan informasi tentang penelitian ini,
Bapak/Ibu/Saudara/i dapat menghubungi: }{\fs22 \dbch \af0 \hich \af7 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \li360 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin360 \rin0 \itap0 \fs22 \loch \af7
\hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Navya Indriyani}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 (No. HP : 08}{\fs22 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 1256222770}{\fs22 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 )}{\fs22 \dbch
\af0 \hich \af7 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \ul1 \par
}\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0
\rin0 \itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \fi-360 \li360
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin360 \rin0 \itap0 \ls2
\fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \loch \af7 \hich \af7 \dbch \af2
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 9.\tab }{\fs22 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \ul1 Kesediaan}
{\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \ul1 \par }\pard \plain \s16 \qj \li360 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \lin360 \rin0 \itap0 \fs22 \loch \af7 \hich \af7
\dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Jika
Bapak/Ibu/Saudara/i bersedia untuk berpartisipasi maka Bapak/Ibu/Saudara/i akan
mendapatkan }{\b1 \fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \ul1 satu salinan}{\fs22 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 dari lembar informasi dan
kesediaan ini. Tanda tangan Bapak/Ibu/Saudara/i pada lembar ini menunjukkan
kesediaan Bapak/Ibu/Saudara/i untuk menjadi partisipan dalam penelitian.}{\fs22
\dbch \af0 \hich \af7 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0
\rin0 \itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7
\dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af0
\hich \af7 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0
\itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Tanggal: \uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1
\u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1
\u8230 ?\uc1 \u8230 ?..}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7
\dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0
\itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Tanda tangan Partisipan}{\fs22 \dbch \af0 \hich \af7
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 ,}{\fs22 \dbch \af0 \hich
\af7 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0
\itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs22 \dbch \af0 \hich \af7 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af0 \hich \af7
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22
\loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1
\u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1
\u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?.......}{\fs22 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich
\af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 (Nama
lengkap dengan huruf balok)}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7
\dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0
\itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Yang menyampaikan informasi:}{\fs22 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22
\loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich
\af7 \dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \lin0
\rin0 \itap0 \fs22 \loch \af7 \hich \af7 \dbch \af2 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7
\dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \uc1
\u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1
\u8230 ?\uc1
\u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1 \u8230 ?\uc1
\u8230 ?\uc1 \u8230 ?}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs22 \loch \af7 \hich \af7
\dbch \af2 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs22 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 (Nama lengkap
dengan huruf balok)}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }}