KMA Tata Persuratan No.9 Th 2016

7/21/2019 KMA Tata Persuratan No.9 Th 2016

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K E P U T U S A N M E N T E R I A G A M A

R E P U B L I K

I N D O N E S I A

N O M O R 9 T A H U N 2 0 1 6

T E N T A N G

P E D O M A N T A T A N A S K A H D I N A S

P A D A K E M E N T E R I A N A G A M A

D E N G A N R A H M A T T U H A N Y A N G M A H A E S A

M E N T E R I A G A M A

R E P U B L I K I N D O N E S I A ,

M e n i m b a n g : a . b a h w a d a l a m r a n g k a m e n i n g k a t k a n t e rt ib a d m i n i s t r a s i

k e d i n a s a n s e r t a e f is i e n s i k o m u n i k a s i d a n i n f o r m a s i

a n t a r u n i t o r g a n i s a s i , p e r l u d i t e t a p k a n t a t a n a s k a h d i n a s

p a d a K e m e n t e r i a n A g a m a ;

b . b a h w a b e r d a s a r k a n p e r t im b a n g a n s e b a g a i m a n a

d i m a k s u d d a l a m b u r u f a , p e r l u m e n e t a p k a n K e p u t u s a n

M e n t e r i A g a m a t e n ta n g P ed o m a n T a t a N a s k a b D i n a s

p a d a K e m e n t e r i a n A g a m a ;

M e n g i n g a t : 1 . U n d a n g - U n d a n g N o m o r 7 T a b u n 1 9 7 1 t e n t a n g

K e t e n t u a n - K e t e n t u a n P o k o k K e a r s i p a n ( L e m b a r a n

N e g a r a R e p u b l i k I n d o n e s ia T a b u n 1 9 7 1 N o m o r 3 2 ,

T a m b a h a n L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a N o m o r

2 9 6 4 ) s e b a g a i m a n a t e la b d i u b a b d e n g a n U n d a n g -

U n d a n g N o m o r 4 3 T a b u n 2 0 0 9 te n t a n g K e a r s i p a n

( L e m b a r a n

N e g a r a

R e p u b l i k I n d o n e s i a

N o m o r

1 5 2 ,

T a m b a h a n L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a N o m o r

5 0 7 1 ) ;

2 .

U n d a n g - U n d a n g N o m o r 2 4 T a b u n 2 0 0 9 t e n ta n g

B e n d e r a , B a h a s a , d a n L a m b a n g

N e g a r a ,

s e r t a L a g u

K e b a n g s a a n ( L e m b a r a n

N e g a r a


T a b u n

2 0 0 9

N o m o r

1 0 9 , T a m b a h a n L e m b a r a n

N e g a r a

R e p u b l i k In d o n e s i a N o m o r 5 0 3 5 ) ;

3 . P e r a t u r a n P e m e r i n t a b

N o m o r

6 6 T a b u n 1 9 5 1 t e n t a n g

L a m b a n g N e g a r a ( L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a

T a b u n 1 9 5 1 N o m o r 1 1 1 , T a m b a h a n L e m b a r a n N e g a r a

R e p u b l i k In d o n e s i a

N o m o r

1 7 6 ) ;

4 . P e r a t u r a n P e m e r i n t a b N o m o r 4 3 T a h u n 1 9 5 8 t e n ta n g

P e n g g u n a a n L a m b a n g N e g a r a ( L e m b a r a n N e g a r a

R e p u b l i k I n d o n e s i a T a b u n 1 9 5 8

N o m o r

7 1 , T a m b a h a n

L e m b a r a n

N e g a r a


N o m o r

1 6 3 0 ) ;

5 . P e r a t u r a n P e m e r i n t a b

N o m o r

2 8 T a b u n 2 0 1 2 t e n ta n g

P e l a k s a n a a n U n d a n g - U n d a n g N o m o r 4 3 T a b u n 2 0 0 9

t e n ta n g K e a r s i p a n ( L e m b a r a n N e g a r a R e p u b l i k

I n d o n e s ia T a b u n 2 0 1 2

N o m o r

5 3 , T a m b a h a n L e m b a r a n

N e g a r a R e p u b l i k I n d o n e s ia N o m o r 5 2 8 6 ) ;


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6 . P e r a t u r a n P r e s i d e n N o m o r 7 T a h u n 2 0 1 5 t e n ta n g

O r g a n i s a s i K e m e n t e r ia n N e g a r a ( L e m b a r a n N e g a r a

R e p u b l ik I n d o n e s i a T a b u n 2 0 1 5 N o m o r 8 ) ;

7 . P e r a t u r a n P r e s i d e n

N o m o r

8 3 T a b u n 2 0 1 5 t e n ta n g

K e m e n t e r i a n A g a m a ( L e m b a r a n

N e g a r a

R e p u b l i k

I n d o n e s i a T a b u n 2 0 1 5 N o m o r 1 6 8 ) ;

8 . P e r a t u r a n M e n t e r i A g a m a N o m o r 1 0 T a b u n 2 0 1 0

t e n t a n g O r g a n i s a s i d a n T a t a K e r j a K e m e n t e r i a n A g a m a

s e b a g a i m a n a t e la b b e b e r a p a

k a l i

d i u b a b t e r a k b i r

d e n g a n P e r a t u r a n M e n t e r i A g a m a N o m o r 1 6 T a b u n 2 0 1 5

t e n t a n g P e r u b a b a n K e e m p a t A t a s P e r a t u r a n M e n t e r i

A g a m a N o m o r 1 0 T a b u n 2 0 1 0 te n t a n g O r g a n i s a s i d a n

T a t a

K e r j a K e m e n t e r i a n A g a m a ( B e r i t a

N e g a r a

R e p u b l i k

I n d o n e s i a T a b u n 2 0 1 5 N o m o r 3 4 8 ) ;

9 . P e r a t u r a n M e n t e r i P e n d a y a g u n a a n A p a r a t u r N e g a r a

N o m o r 6 T a b u n 2 0 1 1 t e n ta n g P e d o m a n U m u m T a t a

P e r s u r a t a n D i n a s E l e k t r o n i k d i L i n g k u n g a n I n s t a n s i

P e m e r i n t a b ;

1 0 . P e r a t u r a n M e n t e ri A g a m a N o m o r 1 3 T a b u n 2 0 1 2

t e n t a n g O r g a n i s a s i d a n T a t a K e r j a I n s t a n s i V e r t i k a l

K e m e n t e r i a n A g a m a ( B e r i ta N e g a r a R e p u b l i k I n d o n e s i a

T a b u n 2 0 1 2

N o m o r

8 5 1 ) ;

1 1 . P e r a t u r a n M e n t e r i P e n d a y a g u n a a n A p a r a t u r N e g a r a d a n

R e f o r m a s i B i r o k r a s i N o m o r 8 0 T a b u n 2 0 1 2 t e n ta n g

P e d o m a n T a t a P e r s u r a t a n D i n a s I n s t a n s i P e m e r i n t a b

( B e r i t a N e g a r a R e p u b l i k I n d o n e s i a T a b u n 2 0 1 3 N o m o r

6 9 ) ;

1 2 . K e p u t u s a n M e n t e r i P e n d a y a g u n a a n A p a r a t u r N e g a r a

N o m o r 1 3 / K E P / M . P A N / 1 / 2 0 0 3 t e n ta n g P e d o m a n

U m u m P e r k a n t o r a n E l e k t r o n i s L i n g k u p I n t r a n e t d i

L i n g k u n g a n I n s t a n s i P e m e r in t a b ;

M E M U T U S K A N :

K E P U T U S A N

M E N T E R I A G A M A T E N T A N G P E D O M A N

T A T A N A S K A H D I N A S P A D A K E M E N T E R I A N

A G A M A .

M e n e t a p k a n P e d o m a n T a t a N a s k a h D i n a s p a d a

K e m e n t e r i a n A g a m a s e b a g a i m a n a t e r c a n t u m d a l a m

L a m p i r a n y a n g m e r u p a k a n b a g ia n t i d a k t e r p i s a b k a n d a r i

K e p u t u s a n M e n t e r i i n i .

P e d o m a n T a t a N a s k a b D i n a s p a d a K e m e n t e r i a n A g a m a

s e b a g a im a n a d i m a k s u d d a l a m D i k t u m K E S A T U

m e r u p a k a n p e d o m a n b a gi s e l u r u h S a t u a n O r g a n i s a s i ,

S a t u a n K e r j a , d a n U n i t P e l a k s a n a T e k n i s p a d a

K e m e n t e r i a n A g a m a d a l a m m e n y e l e n g g a r a k a n t a t a n a s k a b

d i n a s .

M e n e t a p k a n :

K E S A T U :

K E D U A


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K E T I G A : T a t a n a s k a h d i n a s y a n g t e la h ad a di l i n g k u n g a n

K e m e n t e r i a n A g a m a s e c a r a b e r t a h a p a g a r d i s e s u a i k a n

d e n g a n P e d o m a n T a t a N a s k a b D i n a s p a d a K e m e n t e r i a n

A g a m a p a l in g l a m b a t

2 dua)

t a b u n s e ja k K e p u t u s a n

in i

d i t e t a p k a n .

K E E M P A T

: K e p u t u s a ni n i m u l a i b e r l a k u p a d a ta n g g a l d i t e t a p k a n .

D i t e t a p k a n di J a k a r t a

^ =^^=t9nggal 25 J a n u a r i 2016

G A M A R E P U B L I K I N D O N E S I A ,

M S A I F U D D I N


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L A M P I R A N

K E P U T U S A N

M E N T E R I

A G A M A

R E P U B L I K I N D O N E S I A

N O M O R

9 T A H U N 2 0 1 6

T E N T A N G

P E D O M A N T A T A N A S K A H D I N A S

P A D A K E M E N T E R I A N

A G A M A

B A B

I

P E N D A H U L U A N

A . L a t a r B e l a k a n g

S e s u a i

d i n a m i k a p e r k e m b a n g a n p e r a t u r a n d a n t e k n o l o g i

i n fo r m a s i , K e m e n t e r ia n A g a m a p e r l u m e n y e m p u r n a k a n t a t a n a s k a b

d i n a s d a l a m r a n g k a m e m p e r l a n c a r a r u s i n f o r m a s i d a n k o m u n i k a s i

t u l i s

k e d i n a s a n .

T a t a

n a s k a b d i n a s s eb a g ai s a l a b s a t u u n s u r a d m i n i s t r a s i

m e l i p u t i p e n g a t u r a n t e n ta n g j e n i s d a n p e n y u s u n a n n a s k a b d i n a s ,

p e n g g u n a a n l a m b a n g n e g a r a ,

lo o

d a n c a p d i n a s , p e n g g u n a a n b a b a s a

I n d o n e s i a y a n g b a i k d a n b en a r , k e w e n a n g a n p e n a n d a t a n g a n , t a t a

s u r a t ,

d a n a l u r s u r a t .

K e t e n t u a n t e n t a n g t a ta n a s k a b d i n a s y a n g b e r l a k u u n t u k

s e l u r u b s a t u a n o r g a n i s a s i / k e r j a p a d a K e m e n t e r i a n A g a m a t e l ab d i a t u r

d a l a m P e r a t u r a n M e n t e ri A g a m a

N o m o r

1 6 T a b u n 2 0 0 6 te n t a n g T a t a

P e r s u r a t a n

D i n a s d i L i n g k u n g a n D e p a r t e m e n A g a m a . D e n g a n a d a n y a

P e r a t u r a n M e n t e r i N e g a r a P e n d a y a g u n a n A p a r a t u r N e g a r a

N o m o r

8 0

T a b u n

2 0 1 2 t e n ta n g P e d o m a n U m u m T a t a N a s k a b D i n a s I n s t a n s i

P e m e r i n t a b , k e t e n t u a n d a l a m T a t a P e r s u r a t a n D i n a s t e r se b u t p e r l u

d i s e m p u r n a k a n .

B . M a k s u d d a n T u j u a n

1.

M a k s u d

P e d o m a n T a t a N a s k a b D i n a s d i m a k s u d k a n se b ag a i r u j u k a n a t a u

a c u a n b a g i s a t u a n o r g a n i s a s i / k e r ja d a l a m p e m b u a t a n d a n

p e n g e lo l a a n n a s k a b d i n a s s e t i a p u n i t k e r j a p a d a K e m e n t e r i a n

A g a m a .

2 .

T u j u a n

P e d o m a n T a t a N a s k a b D i n a s b e r t u j u a n u n t u k m e n c i p t a k a n

k e l a n c a r a n

k o m u n i k a s i t u l i s y a n g e f e k ti f d a n e f i s i e n

a nt a r

u n i t k e r j a

p a d a K e m e n t e r i a n A g a m a .

C . S a s a r a n

S a s a r a n

p e n e t a p a n P e d o m a n T a t a N a s k a b D i n a s K e m e n t e r i a n A g a m a

a d a l a b :

1 . t e r c a p a i n y a k e s a m a a n p e n g e r t ia n , b a b a s a , d a n p e n a f s i r a n

p e n y e l en g g a r a t a t a n a s k a h d i n a s ;


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2 . t e r w u j u d n y a k e t e r p a d u a n p e n g e l o l a a n t a t a n a s k a h d i n a s d e n g a n

u n s u r l a i n n y a d a l a m l in g k u p a d m i n i s t r a s i u m u m ;

3 . t e r c a p a i n y a e f e k t if i t a s d a n e f i s ie n s i p e n y e l e n g g a r a a n t a t a n a s k a h

d i n a s ; d a n

4 . b e r k u r a n g n y a t u m p a n g t i n d i b , s a l a b t a f s i r , d a n

p e m b o r o s a n

p e n y e l e n g g a r a a n

t a t a n a s k a b d i n a s .

D . A s a s

A s a s y a n g b a r u s d i p e r h a t i k a n d a l a m p e n 5 a i s u n a n n a s k a b d i n a s

s e b a g a i b e r i k u t :

1 . E f e k t i f d a n E f i s i e n

P e n y e l e n g g a r a a n t a t a n a s k a b d i n a s p e r l u d i l a k u k a n s e c a r a e fe k ti f

d a n e f is i e n d a l a m p e n u l i s a n , p e n g g u n a a n r u a n g a t a u l e m b a r

n a s k a b d i n a s , s p e s i f ik a s i i n f o r m a s i , s e r t a d a l a m p e n g g u n a a n

b a b a s a I n d o n e s i a y a n g b a i k , b e n a r , d a n l u g a s .

2 .

P e m b a k u a n

N a s k a b d i n a s d i p ro s e s d a n d i s u s u n m e n u r u t t a t a c a r a d a n b e n t u k

y a n g t e la b d i b a k u k a n .

3 . P e r t a n g g u n g

J a w a b a n

P e n y e l e n g g a r a a n t a t a n a s k a b d i n a s d a p a t d i p e r t a n g g u n g j a w a b k a n

d a r i s e g i i s i , f o rm a t , p r o s e d u r , k e w e n a n g a n , d a n k e a b s a b a n .

4 . K e t e r k a i t a n

K e g i a t a n p e n y e l e n g g a r a a n t a t a n a s k a b d i n a s d i l a k u k a n d a l a m s a t u

k e s a t u a n s i s t e m a d m i n i s t r a s i u m u m .

5 . K e c e p a t a n d a n K e t e p a t a n

N a s k a b d i n a s b a r u s d a p a t d i s e l e s a i k a n s e c a r a ce p a t,

t e p a t

w a k t u ,

d a n t e p a t s a s a r a n d a l a m r e d a k s i o n a l , p r o s e d u r a l , d a n d i s t r i b u s i .

6 . K e a m a n a n

T a t a

n a s k a b d in a s b a r u s a m a n d a l a m p e n y u s u n a n , k l a s i f i k a s i ,

p e n y a m p a i a n k e p a d a y a n g b e r b a k , p e m b e r k a s a n , k e a r s i p a n , d a n

d i s t r i b u s i .

E .

R u a n g L i n g k u p

R u a n g l in g k u p P e d o m a n T a t a N a s k a b D i n a s K e m e n t e r i a n A g a m a

m e l i p u t i b e r b a g a i k e g i a t a n y a n g m e n c a k u p p e n g a t u r a n t e n t an g j e n i s

d a n f or m a t n a s k a b d i n a s , p e n y u s u n a n n a s k a b d i n a s , p e n g u r u s a n

n a s k a b d i n a s k o r e s p o n d e n s i , p e n a n d a t a n g a n a n n a s k a b d i n a s ,

p e n g g u n a a n l a m b a n g n e g a r a , lo o d a l a m n a s k a b d i n a s , t a t a

p e r s u r a t a n , d a n p e n g g u n a a n m e d i a s u r a t - m e n y u r a t .

F . P e n g e r t i a n U m u m

1 .

N a s k a b D i n a s a d a l a b i n f o rm a s i t u l i s s e b a ga i a l a t k o m u n i k a s i

k e d i n a s a n y a n g d i b u a t d a n / a t a u d i k e l u a r k a n

o l e b

p e j a b a t y a n g

b e r w e n a n g p a d a K e m e n t e r i a n A g a m a d a l a m r a n g k a


t u g a s s e s u a i t u g a s d a n f u n g s i K e m e n t e r i a n

A g a m a .


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- 6 -

2 . T a t a N a s k a h D i n a s a d a l a h p e n y e l en g g a ra a n k o m u n i k a s i t u l i s y a n g

m e l i p u t i p e n g a t u r a n j e n i s , f o rm a t , p e n y i a p a n , p e n g a m a n a n ,

p e n g a b s a h a n , d i s t r ib u s i , d a n p e n y i m p a n a n n a s k a b d i n a s , s e r t a

m e d i a y a n g d i g u n a k a n d a l a m k o m u n i k a s i k e d i n a s a n .

3 . F o r m a t a d a l a b s u s u n a n d a n b e n t u k n a s k a b d i n a s y a n g

m e n g g a m b a r k a n t a t a l e t a k , t e r m a s u k p e n g g u n a a n l a m b a n g

n e g a r a , lo o d a n c a p d i n a s , p e n u l i s a n n a m a i n s t a n s i , b o k s t a n d a

t a n g a n , d a n c a p d i n a s , s e r ta b e n t u k r e d a k s i o n a l .

4 . L a m b a n g N e g a r a a d a l a b L a m b a n g G a r u d a .

5 .

L a m b a n g K e m e n t e r i a n A g a m a a d a l a b L a m b a n g I k b l a s B e r a m a l

y a i t u

g a m b a r d a n / a t a u b u r u f d a l a m b e n t u k s e gi l i m a y a n g

d i g u n a k a n d a l a m N a s k a b D i n a s K e m e n t e r i a n A g a m a s e ba g a i

i d e n t i t a s .

6 . L a m b a n g P e r g u r u a n T i n g g i K e a g a m a a n N e g e r i a d a l a b g a m b a r

d a n / a t a u

b u r u f s e b a ga i i d e n t it a s P e r g u r u a n T i n g g i K e a g a m a a n

7 .

K o d e

J a b a t a n a d a la b k o d e j a b a t a n p e n a n d a t a n g a n p a d a n a s k a b

d i n a s , d i s u s u n b e r d a s a r k a n j a b a t a n y a n g t e r d a p a t d a l a m

o r g a n i s a s i d a n t a t a k e r j a y a n g t e la b d i t e t a p k a n o l e b M e n t e r i A g a m a

8 . S a t u a n O r g a n i s a s i a d a l a b b a g i a n d a r i s u a t u o r g a n i s a s i y a n g

m e n y e l e n g g a r a k a n k e g i a t a n - k e g ia t a n a d m i n i s t r a s i d a l a m a r t i

t e r b a t a s y a n g d i d a l a m n y a t e r d a p a t p e ja b a t - p e j a b a t y a n g

m e n g u r u s i a d m i n i s t r a s i k e p e g a w a ia n , k e u a n g a n , d a n a d m i n i s t r a s i

u m u m .

9 .

S a t u a n K e r j a a d a l a b u n i t - u n i t d i b a w a b s a t u a n o r g a n i s a s i y a n g

m e l a k s a n a k a n

a d m i n i s t r a s i t e r t e n tu d a n t i d a k m e m e n u b i u n s u r -

u n s u r y a n g m e n a n g a n i a d m i n i s t r a s i k e p e g a w a i a n , k e u a n g a n , d a n

a d m i n i s t r a s i u m u m .

N e g e r i .


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B A B

I I

J E N I S

D A N W E W E N A N G P E M B U A T A N / P E N E T A P A N ,

D A N

P E N A N D A T A N G A N A N

N A S K A H D I N A S

A . J e n i s N a s k a h D i n a s

J e n i s

n a s k a h d i n a s t e r d ir i d a r i n a s k a h d i n a s a r a h a n , n a s k a h d i n a s

k o r e s p o n d e n s i, n a s k a h d i n a s k h u s u s , l a p o r a n , d a n t e l a a h a n s t a f.

1. N a s k a h d i n a s a r a h a n t e r d ir i d a r i :

P e r a t u r a n M e n t e r i

A g a m a ,

K e p u t u s a n ,

I n s t r u k s i

M e n t e r i

A g a m a ,

P e d o m a n ,

P e t u n j u k P e l a k s a n a a n , S t a n d a r O p e r a s i o n a l P r o s e d u r , S u r a t

E d a r a n ,

d a n S u r a t T u g a s .

2 . N a s k a h D i n a s K o r e s p o n d e n s i t e r d ir i d a r i :

a .

N a s k a h D i n a s K o r e s p o n d e n s i I n t e r n a l m e l i p u t i n o t a d i n a s d a n

m e m o r a n d u m ;

b . N a s k a b D i n a s K o r e s p o n d e si

E k s t e r n a l

b e r u p a s u r a t d i n a s ; d a n

c . S u r a t U n d a n g a n .

3 .

N a s k a b D i n a s K h u s u s m e l i p u t i p e r ja n j ia n d a l a m

n e g e r i

d a n p e r j a n j i a n

i n t e r n a s i o n a l , s u r a t

k u a s a ,

b e r i t a a c a r a , s u r a t k e t e r a n g a n , s u r a t

p e n g a n ta r , d a n p e n g u m u m a n .

4 . L a p o r a n ;

5 . T e l a a h a n S t a f ;

6 . F o r m u l i r ; d a n

7 . N a s k a b D i n a s E l e k t r o n i k .

B .

N a s k a b D i n a s

1.

N a s k a b D i n a s A r a b a n

N a s k a b d i n a s a r a b a n m e r u p a k a n n a s k a b d in a s y a n g m e m u a t k e b i j a k a n

p o k o k

a t a u k e b i j a k a n p e l a k s a n a a n y a n g b a r u s

d i p e d o m a n i

d a n

d i l a k s a n a k a n

d a l a m


t u g a s d a n k e g i a t a n K e m e n t e r i a n

A g a m a y a n g b e r u p a p r o d u k b u k u m y a n g b e r s i fa t p e n g a t u r a n ,

p e n e t a p a n , d a n p e n u g a s a n .

a . P e r a t u r a n d a n K e p u t u s a n

K e t e n t u a n t e n t a n g p e n g e r ti a n , k e w e n a n g a n , f o rm a t , d a n t a t a c a r a

p e n u l i s a n p e r a t u r a n d a n k e p u t u s a n d ia t u r s e s u a i k e t e n t u a n

p e r a t u r a n p e r u n d a n g - u n d a n g a n .

b . I n s t r u k s i M e n t e r i A g a m a

I n s t r u k s i

M e n t e r i

A g a m a

m e r u p a k a n n a s k a b d i n a s y a n g m e m b u a t

p e r i n ta b a t a u a r a b a n u n t u k m e l a k u k a n p e k e r ja a n a t a u

m e l a k s a n a k a n t u g a s y a n g b e r s if a t s a n g a t p e n t in g .

c .

P e d o m a n

m e r u p a k a n n a s k a b d i n a s y a n g m e m u a t a c u a n y a n g

b e r s if a t u m u m y a n g p e r l u d i j a b a r k a n k e d a l a m p e t u n j u k

o p e r a s io n a l d a n p e n e r a p a n n y a d i s e s u a i k a n

d e n g a n

k a r a k t e r i s t i k

K e m e n t e r i a n

A g a m a .

J?


8/75

- 8 -

d . P e t u n j u k P e l a k s a n a a n m e m u a t c a r a p e l a k s a n a a n k e g i a ta n ,

t e r m a s u k

u r u t a n p e l a k s a n a a n n y a .

e . S t a n d a r O p e r a s i o n a l P r o s e d u r

K e t e n t u a n

t e n t a n g p e n g e r t i a n , k e w e n a n g a n , f o r m a t , d a n t a t a c a r a

p e n u l i s a n p e r a t u r a n d i a t u r d e n g a n p e r a t u r a n p e r u n d a n g - u n d a n g a n .

f. S u r a t E d a r a n m e r u p a k a n n a s k a h d i n a s y a n g m e m u a t p e n e t a p a n

d a n p e m b e r i t a h u a n t e n t a n g b a l t e r t e n t u y a n g d i a n g g a p p e n t i n g d a n

m e n d e s a k s e r t a d i t u j u k a n k e p a d a l i n g k u n g a n t e r te n t u .

g. S u r a t t u g a s

S u r a t

t u g a s m e r u p a k a n n a s k a b d i n a s d a r i M e n t e ri A g a m a ,

P i m p i n a n

S a t u a n O r g a n i s a s i / K e r j a y a n g d i t u j u k a n k e p a d a b a w a b a n

a t a u p e g a w a i l a i n n y a y a n g b e r i s i p e n u g a s a n u n t u k m e l a k s a n a k a n

p e k e r j a a n s e s u a i d e n g a n t u g a s d a n f u n g s i .

2 . N a s k a b D i n a s K o r e s p o n d e n s i

a .

N a s k a b D i n a s K o r e s p o n d e s i I n t e r n a l

1)

N o t a

D i n a s m e r u p a k a n n a s k a b d i n a s in t e r n a l p a d a s a t u a n

o r g a n i s a s i / k e r j a y a n g d i b u a t o l e b p e j a b a t d a l a m m e l a k s a n a k a n

t u g a s g u n a m e n y a m p a i k a n la p o r a n , p e m b e r i t a h u a n , p e r n y a t a a n ,

p e r m i n t a a n , a t a u p e n y a m p a i a n p e n d a p a t k e p a d a p e j a b a t l a i n .

N o t a

D i n a s m e m u a t b a l y a n g b e r s i f a t r u t i n , b e r u p a c a t a t a n

r i n g k a s d a n l e n g k a p , d a n d a p a t l a n g s u n g d i ja w a b d e n g a n

d i s p o s i s i o l e b p e j a b a t s t r u k t u r a l y a n g d i tu j u .

2 ) M e m o r a n d u m m e r u p a k a n n a s k a b d i n a s i n t e r n a l p a d a s a t u a n

o r g a n i s a s i / k e r j a y a n g b e r s if a t m e n g i n g a t k a n s u a t u m a s a l a b ,

m e n y a m p a i k a n a r a b a n , p e r i n g a t a n , s a r a n , d a n p e n d a p a t

k e d i n a s a n .

b . N a s k a b D i n a s K o r e s p o n d e s i E k s t e r n a l a d a l a b S u r a t D i n a s

S u r a t

D i n a s m e r u p a k a n n a s k a b d i n a s p e l a k s a n a a n t u g a s p e ja b a t

d a l a m m e n y a m p a i k a n in f o r m a s i k e d i n a s a n b e r u p a p e m b e r i t a h u a n ,

p e r n y a t a a n , p e r m i n t a a n , p e n y a m p a i a n n a s k a b d i n a s a t a u b a r a n g ,

a t a u

b a l k e d i n a s a n l a i n n y a k e p a d a p i b a k l a i n d i l u a r s a t u a n

o r g a n i s a s i .

c . S u r a t U n d a n g a n m e r u p a k a n s u r a t d i n a s y a n g m e m u a t u n d a n g a n

k e p a d a p e ja b a t / p e g a w a i y a n g t e r s e b u t p a d a a l a m a t t u j u a n u n t u k

m e n g b a d i r i s u a t u a c a r a k e d i n a s a n t e r t e n t u , s e p e r t i r a p a t , u p a c a r a ,

d a n

p e r t e m u a n .

3 . N a s k a b D i n a s K h u s u s

a . P e r j a n j i a n D a l a m N e g e r i d a n P e r j a n j i a n I n t e r n a s i o n a l .

K e t e n t u a n

t e n t a n g p e n g e r t i a n , k e w e n a n g a n , fo r m a t , d a n t a t a c a r a

p e n u l i s a n p e r a t u r a n d i a t u r d e n g a n p e r a t u r a n p e r u n d a n g - u n d a n g a n .

b . S u r a t k u a s a m e r u p a k a n n a s k a b d i n a s y a n g b e r is i p e m b e r i a n

w e w e n a n g k e p a d a b a d a n b u k u m / k e l o m p o k o r a n g / p e rs e o ra n g a n

a t a u

p i b a k

l a i n

d e n g a n a t a s n a m a n y a u n t u k m e l a k u k a n s u a t u

t i n d a k a n

t e r t e n t u d a l a m r a n g k a k e d i n a s a n .

c . B e r i t a A c a r a m e r u p a k a n n a s k a b d i n a s y a n g b e r is i u r a i a n t e n ta n g

p r o s e s p e l a k s a n a a n s u a t u k e g i a t a n y a n g h a r u s d i t a n d a t a n g a n i o le h

p a r a p i b a k d a n p a r a s a k s i a p a b i l a d i p e r l u k a n .

d


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- 9 -

d . S u r a t K e t e r a n g a n m e r u p a k a n n a s k a h d i n a s y a n g b e r is i i n f o r m a s i

b a l

a t a u s e s e o r a n g u n t u k k e p e n t i n g a n k e d i n a s a n .

e. S u r a t P e n g a n t a r m e r u p a k a n n a s k a b d i n a s y a n g d i g u n a k a n u n t u k

m e n g a n t a r / m e n y a m p a i k a n b a r a n g a t a u n a s k a b .

f. P e n g u m u m a n m e r u p a k a n n a s k a b d i n a s y a n g m e m u a t

p e m b e r i t a h u a n y a n g d i t u j u k a n k e p a d a s e m u a p e j a b a t/ p e g a w a i

K e m e n t e r i a n A g a m a a t a u p e r s e o r a n g a n d a n

g o l o n g a n

d i d a l a m a t a u

d i

l u a r K e m e n t e r i a n A g a m a .

4 .

L a p o r a n m e r u p a k a n n a s k a b d i n a s y a n g m e m u a t p e m b e r i t a h u a n

t e n t a n g p e l a k s a n a a n s u a t u k e g ia t a n / k e j a d i a n .

5 .

T e l a a h a n S t a f m e r u p a k a n b e n t u k u r a i a n y a n g d i s a m p a i k a n

o l e b

p e j a b a t

s t r u k t u r a l

a t a u f u n g s io n a l y a n g m e m u a t a n a l i s i s s i n g k a t d a n j e l a s

m e n g e n a i s u a t u p e r s o a l a n d e n g a n m e m b e r i k a n j a l a n k e l u a r /

p e m e c a h a n y a n g d i s a r a n k a n .

6 . F o r m u l i r m e r u p a k a n b e n t u k p e n g a t u r a n a l o k a s i r u a n g a t a u le m b a r

n a s k a b u n t u k m e n c a t a t b e r b a g a i d a t a d a n in f o r m a s i . F o r m u l i r d i b u a t

d a l a m b e n t u k

k a r t u

a t a u le m b a r a n t e r c e ta k d e n g a n j u d u l t e r te n t u

b e r i s i k e t e r a n g a n y a n g d i p e r l u k a n .

7 .

N a s k a b D i n a s E l e k t r o n i k m e r u p a k a n n a s k a b d in a s b e r u p a k o m u n i k a s i

i n f o r m a s i

y a n g d i l a k u k a n s e c a r a e l e k t r o n ik a t a u y a n g te r e k a m d a l a m

m u l t i m e d i a e l e k t r o n i k .

C . W e w e n a n g P e m b u a t a n / P e n e t a p a n d a n P e n a n d a t a n g a n a n N a s k a b D i n a s

1. K e w e n a n g a n u n t u k m e n e t a p k a n d a n m e n a n d a t a n g a n i

I n s t r u k s i

p a d a

K e m e n t e r i a n A g a m a

o l e b

M e n t e r i A g a m a .

2 .

K e w e n a n g a n u n t u k m e n e t a p k a n d a n m e n a n d a t a n g a n i S u r a t E d a r a n

p a d a K e m e n t e r i a n A g a m a

o l e b

M e n t e r i A g a m a d a n d a p a t d i l i m p a b k a n

p a d a S e k r e t a r i s J e n d e r a l a t a u P e j ab a t y a n g d i t u n j u k s e s u a i s u b s t a n s i

s u r a t

e d a r a n .

3 .

S u r a t t u g a s d i b u a t d a n d i t a n d a t a n g a n i o l e b M e n t e r i A g a m a d a n

P i m p i n a n

S a t u a n O r g a n i s a s i / K e r j a s e s u a i d e n g a n l i n g k u p t u g a s ,

w e w e n a n g , d a n t a n gg u n g j a w a b .

4 . N o t a D i n a s d i b u a t d a n d i t a n d a t a n g a n i o l e b p e j a b a t d a l a m

s a t u

l i n g k u n g a n i n t e r n a l s a t u a n o r g a n i s a s i s e s u a i d e n g a n l i n g k u p t u g a s ,

w e w e n a n g , d a n t a n g gu n g j a w a b .

5 .

M e m o r a n d u m d i b u a t d a n d i t a n d a ta n g a n i

o l e b

a t a s a n s e s u a i d e n g a n

l i n g k u p t u g a s , w e w e n a n g , d a n t a n g g u n g j a w a b .

6 . S u r a t D i n a s d a n S u r a t U n d a n g a n d i t a n d a t a n g a n i o l e b p e j a b a t y a n g

b e r w e n a n g s e s u a i d e n g a n l i n g k u p t u g a s , f u n g s i , w e w e n a n g , d a n

t a n g g u n g j a w a b .

7 . B e r i t a A c a r a d i t a n d a ta n g a n i o l e b p a r a p i b a k d a n p a r a s a k s i a p a b i l a

d i p e r l u k a n .

8 . S u r a t K e t e r a n g a n d a n S u r a t P e n g a n t a r d i b u a t d a n d i t a n d a t a n g a n i

o l e b

p e j a b a t y a n g s e s u a i d e n g a n l i n g k u p t u g a s , w e w e n a n g , d a n t a n g g u n g

j a w a b .

9 .

P e n g u m u m a n d i b u a t d a n d i t a n d a ta n g a n i

o l e b

M e n t e r i A g a m a s e r t a

P i m p i n a n

S a t u a n O r g a n i s a s i / K e r j a s e s u a i d e n g a n l i n g k u p t u g a s ,

w e w e n a n g , d a n t a n g gu n g j a w a b .

1 0 .

L a p o r a n d i t a n d a t a n g a n i o le h p e ja b a t y a n g d i s e r a b i tu g a s .

1 1 .

T e l a a h a n S t a f d i b u a t d a n d i t a n d a t a n g a n i o l e b p e j a b a t s e s u a i d e n g a n

t u g a s , w e w e n a n g , d a n t a n g g u n g j a w a b .


10/75

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B A B

I I I

P E N Y U S U N A N N A S K A H D I N A S

A . P e r s y a r a t a n P e n y u s u n a n

S e t i a p N a s k a h D i n a s h a r u s m e r u p a k a n k e b u l a t a n p i k i r a n y a n g

j e l a s , p a d a t , d a n m e y a k i n k a n d a l a m s u s u n a n y a n g s i s te m a t i s . D a l a m

p e n y u s u n a n n y a p e r l u m e m p e r h a t i k a n s y a r a t - s y a r a t s e b a g a i b e r i k u t :

1 . K e t e l i t i a n

D a l a m

m e n y u s u n N a s k a b D i n a s b a r u s t e r c e r m i n k e te l i t i a n d a n

k e c e r m a t a n , d i l ib a t d a r i b e n t u k , s u s u n a n p e n g e t i k a n , i s i , s t r u k t u r ,

k a i d a b b a b a s a , d a n p e n e r a p a n k a i d a b e ja a n d i d a l a m p e n g e t i k a n .

K e c e r m a t a n d a n k e t e l it ia n s a n g a t m e m b a n t u p i m p i n a n d a l a m

m e n g u r a n g i k e s a l a b a n p e n g a m b i l a n p u t u s a n k e b i j a k a n .

2 . K e j e l a s a n

N a s k a b D i n a s b a r u s m e m p e r l ih a t k a n k e j e l a s a n , a s p e k f i s i k , d a n

m a t e r i .

3 . S i n g k a t d a n P a d a t

N a s k a b D i n a s b a r u s m e n g g u n a k a n b a b a s a I n d o n e s i a y a n g b a i k d a n

b e n a r ( b a b a s a fo r m a l , e f e k t i f , s i n g k a t , p a d a t , d a n l e n g k a p ) .

4 . L o g i s d a n M e y a k i n k a n

N a s k a b D i n a s b a r u s r u n t u t d a n l o g i s y a n g b e r a r t i b a h w a

p e n u a n g a n g a g a s a n k e d a l a m N a s k a b D i n a s d i l a k u k a n m e n u r u t

u r u t a n

y a n g

l o g i s

d a n m e y a k i n k a n .

S t r u k t u r

k a l i m a t b a r u s l e n g k a p

d a n

e fe k ti f s e h in g g a m e m u d a h k a n p e m a h a m a n p e n a l a r a n b a g i

p e n e r i m a N a s k a b D i n a s .

5 .

P e m b a k u a n

N a s k a b D i n a s b a r u s t a a t m e n g i k u t i a t u r a n y a n g b a k u y a n g b e r l a k u

s e s u a i d e n g a n t u j u a n p e m b u a t a n , b a i k d i l ib a t d a r i s u d u t f o r m a t

m a u p u n

d a r i p e n g g u n a a n b a b a s a n y a a g a r m e m u d a h k a n d a n

m e m p e r l a n c a r p e m a h a m a n i s i N a s k a b D i n a s .

B . L a m b a n g

N e g a r a

d a n L a m b a n g K e m e n t e r i a n A g a m a p a d a N a s k a b

D i n a s

U n t u k m e n g i d e n t if ik a s i N a s k a b D i n a s , p a d a b a l a m a n p e r t a m a

m e n g g u n a k a n L a m b a n g N e g a r a a t a u L a m b a n g K e m e n t e r i a n A g a m a .

P e n c a n t u m a n L a m b a n g N e g a r a a t a u L a m b a n g K e m e n t e r i a n

A g a m a s e b a g a i b e r i k u t :

1 .

L a m b a n g N e g a r a d i g u n a k a n u n t u k N a s k a h D i n a s y a n g

d i t a n d a t a n g a n i s e n d i r i o l e b M e n t e r i A g a m a .

2 . L a m b a n g K e m e n t e r ia n A g a m a d i g u n a k a n u n t u k N a s k a b D i n a s

y a n g d i t a n d a t a n g a n i p ej a b at s t r u k t u r a l y a n g b e r w e n a n g p a d a


A g a m a .


11/75

K o d e J a b a t a n d a n P e n o m o r a n p a d a N a s k a b D i n a s

1 . K o d e J a b a t a n p a d a N a s k a b D i n a s

P e m b e r i a n k o d e j a b a t a n d i u r u t k a n b e r d a s a r k a n o r g a n i s a s i d a n

t a t a

k e r j a y a n g d i t e t a p k a n

o l e b

M e n t er i A g a m a d a n d i u r u t k a n

s e s u a i d e n g a n s t r u k t u r o r g a n i s a s i p a d a o r g a n i s a s i d a n t a t a k e r j a

m a s i n g - m a s i n g u n i t o r g a n i s a s i . K e w e n a n g a n p e n e t a p a n k o d e

j a b a t a n s e b a g a i b e r i k u t :

a . K o d e j a b a t a n p a d a K e m e n t e r i a n A g a m a P u s a t , K a n t o r W i la y a b

K e m e n t e r i a n A g a m a P r o v i n s i , P e r g u r u a n T i n g g i K e a g a m a a n

N e g e r i , B a l a i P e n d i d i k a n d a n P e l a t i b a n , B a l a i P e n e l i t i a n d a n

P e n g e m b a n g a n , A s r a m a H a j i , K a n t o r U r u s a n H a j i , d a n U n i t

P e l a k s a n a

T e k n i s y a n g m e n g a l a m i p e r u b a b a n a t a u

p e n y e m p u r n a a n o r g a n i s a s i d a n t a t a k e r j a p e r l u d i i k u t i d e n g a n

p e n y e m p u r n a a n d a n p e n e ta p a n k o d e j a b a t a n y a n g d i t e t a p k a n

o l e b

M e n t e r i A g a m a .

b . P e n y u s u n a n

K o d e

J a b a t a n s a t u a n k e r j a p a d a K a n t o r W i la y a b

K e m e n t e r i a n A g a m a P r o v i n s i , K a n t o r K e m e n t e r i a n A g a m a

K a b u p a t e n / K o t a , d a n K a n t o r U r u s a n A g a m a K e c a m a t a n , s e r ta

M a d r a s a b N e g e r i d i l a k u k a n d a n d i te t a p k a n d e n g a n K e p u t u s a n

K e p a l a

K a n t o r W i la y a b K e m e n t e r i a n A g a m a P r o v i n s i .

0 . P e n y u s u n a n K o d e J a b a t a n s a t u a n k e r j a p a d a P e r g u r u a n T i n gg i

K e a g a m a a n N e g e r i d i l a k u k a n d a n d i t e t a p k a n d e n g a n

K e p u t u s a n

R e k t o r a t a u K e t u a P e r g u r u a n T in g g i K e a g a m a a n

N e g e r i .

2 . P e n o m o r a n N a s k a b D i n a s

N o m o r p a d a N a s k a b D i n a s m e r u p a k a n s e gm e n p e n t in g d a l a m

k e a r s i p a n .

O l e b k a r e n a i t u , s u s u n a n n y a b a r u s d a p a t m e m b e r i k a n

k e m u d a b a n p e n y i m p a n a n , t e m u b a l i k , d a n p e n i l a i a n a r s i p .

a . S u s u n a n p e n o m o r a n I n s t r u k s i , S u r a t E d a r a n , S u r a t T u g a s ,

d a n

N a s k a b D i n a s K b u s u s s e b a g a i b e r ik u t :

1) n o m o r s u r a t t u g a s ( n o m o r u r u t d a l a m

s a t u

t a b u n t a k w i m ) ;

2 ) k o d e j a b a t a n ;

3 ) b u l a n ( d i t u l is d a l a m d u a d i gi t) ; d a n

4 ) t a b u n t e r b i t .

C o n t o b n o m o r s u r a t t u g a s

N O M O R

0 9 / S J / 0 7 / 2 0 1 5

0 9

:

N o m o r

u r u t S u r a t T u g a s d a l a m s a t u t a b u n t a k w i m k a l e n d e r

S J

: K o d e J a b a t a n S e k r e t a r is J e n d e r a l

0 7 : B u l a n k e - 7 ( J u l i )

2 0 1 5 : T a b u n 2 0 1 5


12/75

- 1 2 -

S u s u n a n

p e n o m o r a n

S u r a t D i n a s m e n c a k u p h a l - h a l

s e b a g a i

b e r i k u t :

1) k o d e

d e r a j a t

p e n g a m a n a n s u r a t d i n a s ;

2 ) n o m o r s u r a t d i n a s ( n o m o r u r u t d a l a m s a t u t a b u n t a k w i m ) ;

3 )

k o d e

j a b a t a n ;

4 ) k o d e k l a s i f i k a s i a r s i p ( K K A ) ;

5 ) b u l a n ( d i tu l i s d a l a m d u a d i g i t ) ; d a n


C o n t o b :

a ) N o m o r S u r a t D i n a s y a n g D i t a n d a t a n g a n i o l e b M e n t e r i

A g a m a :

SR-12/Iv lA/KP. 07.1/07/2015

fecle

Derajat P en g am an an Surat D inas

bersi fat Sangat R a h a s i a

Nomor Surat Dinas

Kode J a b a t a nM enter i Agama

Kode

K las i i ikas i

Arsip

B u l a nK e-7 { Ju l i i

T a h u nTerb i t 2015

b ) N o m o r S u r a t D i n a s

y a n g d i t a n d a t a n g a n i

o l e b P i m p i n a n

S a t u a n O r g a n i s a s i :

R -123/SJ /KP . 07 . 1/07/2015

^ Kode Derajat P en g am an an Surat D inas

bersifat

R a h a s i a

Nomor Surat Dinas

^ Kode J ab ata n S ekretar is Je nde ral

KodeK lasmk asi Ars ip

B u la n Ke-7 (Ju l i; i

T a h u n

Terb i t

2015

c ) N o m o r S u r a t D i n a s y a n g d i ta n d a t a n g a n i a t a s n a m a

P i m p i n a n S a t u a n O r g a n i s a s i :

B - 3 2 1/

S J /

B . IV/OT .01.3/ 06/ 2015

^ Kode Dera ja t P e n g a m a n a n S u r a t D i n a s

b e r s i f a t

B i a s a

* No m o r Surat Dinas.

^ Kode

J

aba t a n S ekre tar is

J endera l

** KodeJa ioa tan Kepa la B i ro O rta la

* K o d eK l a s i f i k a s i i l r s i p

B u l a n

K e r6 ( Jun i j

^ T a l i u n

T e r b i t

2 0 1 5


13/75

- 1 3 -

c . S u s u n a n p e n o m o r a n n o t a d i n a s a t a u m e m o r a n d u m t e r d i r i d a r i :

1)

n o m o r

n o t a d in a s a t a u m e m o r a n d u m

( n o m o r

u r u t d a l a m s a t u

t a h u n

t a k w i m ) ;

2 )

k o d e

j a b a t a n ;

3 )

k o d e

k l a s i f i k a s i a r s i p ( K K A ) ;

4 ) b u l a n ( d i tu l i s d a l a m d u a d i g i t ) ; d a n


C o n t o b :

N o m o r n o t a d i n a s y a n g d i t a n d a t a n g a n i o l e b S e k r e t a r is J e n d e r a l

N o m o r 0 8 / S J / O T . 0 1 / 0 6 / 2 0 1 5

0 8 : N o m o r u r u t n o t a d i n a s a t a u m e m o r a n d u m s a t u t a b u n

t a k w i m k a l e n d e r

S J :

K o d e

J a b a t a n S e k re t a r is J e n d e r a l

O T . O l :

K o d e

K l a s i f i k a s i A r s i p

0 6 :

B u l a n

k e - 6 ( J u n i )

2 0 1 5 : T a b u n 2 0 1 5

d . N o m o r S a l i n a n S u r a t

P e n o m o r a n s a l i n a n s u r a t d i l a k u k a n u n t u k m e n u n j u k k a n b a b w a

s u r a t t e rs e b u t d i b u a t d a l a m j u m l a b t e r b a t a s d a n d i s t r i b u s i n y a

t e r te n t u d i a w a s i . P e n y e b u t a n

n o m o r

s a l i n a n s u r a t d i s u s u n s e b ag a i

b e r i k u t :

1) S e m u a s u r a t y a n g m e m p u n y a i t in g k a t k e a m a n a n s a n g a t

r a h a s i a a t a u r a h a s i a b a r u s d i b e r i n o m o r s a l i n a n p a d a b a l a m a n

p e r t a m a .

2 ) J u m l a b s a l i n a n b a r u s d i c a n t u m k a n m e s k i p u n b a n y a s a t u

s a l i n a n

( s a l i n a n t u n g g a l ) .

3 ) P e n d i s t r i b u s i a n s u r a t y a n g b e r n o m o r s a l i n a n b a r u s s a m a

d e n g a n

d a ft a r d i s t r i b u s i n y a . D a f t a r d i s t r i b u s i b a r u s

d i c a n t u m k a n s e b ag a i l a m p i r a n .

4 ) P e n o m o r a n s e m u a N a s k a b D i n a s y a n g d i a t u r d a l a m K e p u t u s a n

i n i w a j ib d i m i n t a k a n k e p a d a u n i t k e r j a y a n g m e m p u n y a i t u g a s

d a n f u n g s i T a t a U s a b a .

C o n t o b :

SALINAN

1

N o m o r b a l a m a n

N o m o r b a l a m a n N a s k a b D i n a s d i t u l i s

d e n g a n

m e n g g u n a k a n

n o m o r u r u t a n g k a a r a b d a n d i c a n t u m k a n s e c a r a s i m e t r i s d i t e n g a b

a t a s

d e n g a n

m e m b u b u h k a n t a n d a b u b u n g (-) se b e l u m d a n s e t e la h

n o m o r , k e c u a l i b a l a m a n p e r ta m a N a s k a b D i n a s y a n g m e n g g u n a k a n

k o p N a s k a h D i n a s t id a k p e r l u m e n c a n t u m k a n n o m o r b a l a m a n .

C o n t o b :

- 2 -


14/75

- 1 5 -

2 ) R u j u k a n B e r u p a S u r a t D i n a s

P e n u l i s a n r u j u k a n b e r u p a s u r a t d i n a s m e n c a k u p i i n f o r m a s i

s i n g k a t t e n t a n g s u r a t d i n a s y a n g m e n j a d i

r u j u k a n , d e n g a n

u r u t a n

s e b a g a i b e r i k u t : j e n i s s u r a t , j a b a t a n

p e n a n d a t a n g a n ,

n o m o r

s u r a t ,

t a n g g a l

p e n a n d a t a n g a n a n

s u r a t ,

d a n p e r i b a l .

3 ) R u j u k a n B e r u p a S u r a t D i n a s E l e k t r o n i k

P e n u l i s a n r u j u k a n b e r u p a S u r a t D i n a s E l e k t r o n i k ( s u r a t

y a n g d i k i r i m k a n m e l a l u i s a r a n a e l e k tr o n i k ) d i a t u r

t e r s e n d i r i .

4 ) R u j u k a n S u r a t k e p a d a I n s t a n s i

N o n p e m e r in t a b

R u j u k a n

t i d a k b a r u s d i c a n t u m k a n p a d a S u r a t D i n a s y a n g

d i t u j u k k a n

k e p a d a i n s t a n s i n o n p e m e r i n t a b .

R u a n g T a n d a T a n g a n

1 .

P e n g e r t i a n

R u a n g t a n d a t a n g a n m e r u p a k a n

t e m p a t

p a d a b a g i a n k a k i n a s k a b

d i n a s y a n g m e m u a t n a m a j a b a t a n ( m i s a l n y a , M e n t e ri

A g a m a ,

S e k r e t a r i s J e n d e r a l , S e k r e t a r i s D i r e k t o ra t J e n d e r a l , K e p a l a B i r o

a t a u

K e p a l a P u s a t , d a n K e p a l a K a n t o r W i l a y a b ) .

2 .

C a r a P e n u l i s a n

a .

R u a n g t a n d a t a n g a n d i t e m p a t k a n d i

s e b e l a b

k a n a n

b a w a b

s e t e la b b a r i s k a l i m a t t e r a k b i r .

b . N a m a j a b a t a n y a n g d i l e t a k k a n p a d a b a r i s p e r t a m a t i d a k

b o l e b

d i s i n g k a t .

c . N a m a j a b a t a n y a n g d i l i m p a b k a n w e w e n a n g n y a s e s u a i t u g a s

d a n f u n g s i n y a d i l e t a k k a n p a d a b a r i s k e d u a d a n k e t i g a b o l e b

d i s i n g k a t ; m i s a l n y a D i r j e n P e n d i s , K a r o O r t a l a , d a n K a b i d U r a i s

d a n B i n s y a r .

d . R u a n g t a n d a t a n g a n p a l i n g s e d i k i t

e m p a t

p a r a g r a f .

e. N a m a pe j a b a t y a n g m e n a n d a t a n g a n i n a s k a b d i n a s d i t u l i s

d e n g a n

b u r u f a w a l k a p i t a l .

f. J a r a k r u a n g a n t a r a t a n d a t a n g a n d a n t ep i k a n a n k e r t a s a d a l a b

3 c m , s e d a n g k a n u n t u k t e pi

k i r i

d i s e s u a i k a n

d e n g a n

b a r i s

t e r p a n j a n g .

C o n t o b

1

M e n t e r i A g a m a R e p u b l i k I n d o n e s i a ,

( t a n d a t a n g a n )

L u k m a n H a k i m S a i f u d d i n

C o n t o b

2

S e k r e t a r i s J e n d e r a l ,


N u r S y a m

f


15/75

- 1 4 -

E .

K e t e n t u a n J a r a k S p a s i

1 . J a r a k a n t a r a b a b d a n j u d u l a d a l a b d u a s p a s i ;

2 . J i k a j u d u l l e b i b d a r i s a t u b a r i s , j a r a k a n t a r a b a r i s p e r t a m a d a n

k e d u a a d a l a b s a t u s p a s i ;

3 .

J a r a k

a n t a r a j u d u l d a n s u b j u d u l a d a l a b e m p a t s p a s i ;

4 . J a r a k a n t a r a s u b j u d u l d a n u r a i a n a d a l a b d u a s p a s i ; d a n

5 . J a r a k m a s i n g - m a s i n g b a r i s d i s e s u a i k a n d e n g a n k e p e r l u a n .

D a l a m p e n e n t u a n j a r a k s p a s i , b e n d a k n y a d i p e r b a t i k a n a s p e k

k e s e r a s i a n d a n e s t e t ik a , d e n g a n m e n y e i m b a n g k a n b a n y a k n y a i s i

N a s k a b D i n a s .

F . P e n g g u n a a n H u r u f

N a s k a b D i n a s m e n g g u n a k a n j e n i s b u r u f A r i a l d e n g a n u k u r a n 1 1

a t a u

1 2 , s e d a n g k a n N a s k a b D i n a s p e n g a t u r a n d a n p e n e t a p a n d i a t u r

s e s u a i

k e t e n t u a n p e r a t u r a n p e r u n d a n g - u n d a n g a n .

G . L a m p i r a n

J i k a n a s k a b m e m i l ik i b e b e r a p a l a m p i r a n , s e t ia p l a m p i r a n b a r u s

d i b e r i n o m o r u r u t

d e n g a n

a n g k a A r a b . N o m o r b a l a m a n l a m p i r a n

m e r u p a k a n n o m o r l a n j u t a n d a r i b a l a m a n s e b e l u m n y a .

H . D a f t a r D i s t r i b u s i

D a f t a r D i s t r i b u s i m e r u p a k a n s u s u n a n p e ja b a t y a n g d i b u a t o l e b

p e j a b a t s e k r e t a r i a t d a n d i g u n a k a n s e b a g a i p e d o m a n p e n d i s t r i b u s i a n

n a s k a b . S e t i a p d i s t r i b u s i m e n u n j u k k a n p e ja b a t y a n g b e r b a k

m e n e r i m a n a s k a b .

I R u j u k a n

R u j u k a n m e r u p a k a n n a s k a b a t a u d o k u m e n l a i n y a n g d i g u n a k a n

s e b a ga i d a s a r a c u a n a t a u d a s a r p e n y u s u n a n n a s k a b . P e n u l i s a n

r u j u k a n d i l a k u k a n s e b a ga i b e r i k u t :

1 . N a s k a b D i n a s y a n g b e r b en t u k S u r a t T u g a s , S u r a t E d a r a n , d a n

P e n g u m u m a n , r u j u k a n d i t u l is d i d a l a m k o n s i d e r a n s d a s a r .

2 . S u r a t D i n a s m e m e r l u k a n r u j u k a n ; n a s k a b y a n g m e n j a d i r u j u k a n

d i t u l is p a d a a l i n e a p e m b u k a d i i k u t i s u b s t a n s i m a t e r i s u r a t y a n g

b e r s a n g k u t a n . D a l a m b a l l e b i b d a r i s a t u n a s k a b , r u j u k a n b a r u s

d i t u l i s

s e c a r a k r o n o l o g i s .

a . D a l a m b a l S u r a t D i n a s m e m e r l u k a n r u j u k a n , n a s k a b r u j u k a n

d i t u l i s p a d a a l i n e a p e m b u k a , d i i k u t i s u b s t a n s i m a t e r i s u r a t

y a n g b e r s a n g k u t a n r u j u k a n

l e b i b

d a r i s a t u n a s k a b , r u j u k a n i t u

b a r u s d i t u l i s s e c a r a k r o n o lo g is .

b . C a r a m e n u l i s r u j u k a n s e b a ga i b e r i k u t :

1) R u j u k a n B e r u p a N a s k a h

P e n u l i s a n r u j u k a n b e r u p a n a s k a b m e n c a k u p i i n fo r m a s i

s i n g k a t t e n t a n g n a s k a b y a n g m e n j a d i r u j u k a n ,

d e n g a n

u r u t a n s e b a ga i b e r i k u t : j e n i s N a s k a b D i n a s , j a b a t a n

p e n a n d a t a n g a n N a s k a h D i n a s , n o m o r N a s k a h D i n a s ,

t a n g g a l

p e n e t a p a n , d a n s u b je k N a s k a b D i n a s .

0


16/75

- 1 6 -

C o n t o h 3

a . n . S e k r e t a r i s J e n d e r a l

K e p a l a B i r o O r t a l a ,


N u r A r i f i n

K . P e n e n t u a n B a t a s / R u a n g T e p i

D e m i k e s e r a s i a n d a n k e r a p i h a n ( e s te t ik a ) d a l a m p e n y u s u n a n

N a s k a h D i n a s , d i a t u r s u p a y a t id a k s e l u r u h p e r m u k a a n k e r t a s

d i g u n a k a n s e c a r a p e n u h . O l e h k a r e n a i t u , p e r l u d i t e t a p k a n b a t a s

a n t a r a

te p i k e r t a s d a n n a s k a b , b a i k p a d a te p i a t a s , k a n a n , b a w a b ,

m a u p u n p a d a te p i

k i r i

s e h i n g g a t e rd a p a t r u a n g y a n g d i b i a r k a n

k o s o n g . P e n e n t u a n r u a n g t e p i d i l a k u k a n b e r d a s a r k a n u k u r a n y a n g

t e r d a p a t p a d a p e r a l a t a n y a n g d i g u n a k a n u n t u k m e m b u a t N a s k a b

D i n a s , y a i t u :

a .

r u a n g t e p i a t a s : a p a b i l a m e n g g u n a k a n k o p n a s k a b d i n a s , 2

s p a s i d i b a w a b k o p , d a n a p a b i l a t a n p a k o p

n a s k a b d i n a s , p a l i n g s e d i k i t 2 c m d a r i t e p i a t a s

k e r t a s ;

b . r u a n g te p i b a w a b : p a l i n g s e d i k i t 2 , 5 c m d a r i t e p i b a w a b k e r t a s ;

c . r u a n g t e p i

k i r i

: p a l i n g s e d i k i t 3 c m d a r i t e p i

k i r i

k e r t a s ; b a t a s

r u a n g t e p i

k i r i

t e r s e b u t d i a t u r c u k u p l e b a r a g a r

p a d a w a k t u d i lu b a n g i u n t u k k e p e n t i n g a n

p e n y i m p a n a n d a l a m ordner/snelhechter t i d a k

b e r a k i b a t b i l a n g n y a s a l a b s a t u b u r u f / k a t a /

a n g k a p a d a n a s k a h d i n a s te r s e b u t ; d a n

d . r u a n g t e p i k a n a n : p a l i n g s e d i k i t 2 c m d a r i t e p i k a n a n k e r t a s .

C a t a t a n :

D a l a m p e l a k s a n a a n n y a , p e n e n t u a n r u a n g t e p i s e p e r t i t e r s e b u t d i a t a s

b e r s i f a t f l e k s i b e l , d i s e s u a i k a n

d e n g a n

b a n y a k a t a u t i d a k n y a is i s u a t u

N a s k a b D i n a s . P e n e n t u a n r u a n g t ep i ( t e r m a s u k j u g a j a r a k s p a s i d a l a m

p a r a g r a f )

b e n d a k n y a m e m p e r h a t i k a n a s p e k k e s e r a s i a n d a n e s t e t ik a .

L . P e n g g u n a a n B a b a s a

B a b a s a

y a n g d i g u n a k a n d i d a l a m n a s k a b b a r u s j e l a s , t e p a t , d a n

m e n g u r a i k a n m a k s u d , t u j u a n , s e r t a i s i n a s k a b . U n t u k i t u , p e r l u

d i p e r b a t ik a n p e m a k a i a n k a t a d a n k a l im a t d a l a m s u s u n a n y a n g b a i k

d a n b e n a r , s e s u a i d e n g a n k a i d a b t a t a b a b a s a y a n g b e r l a k u , y a i t u T a t a

B a h a s a

B a k u

I n d o n e s i a d a n K a m u s B e s a r B a h a s a I n d o n e s i a .

E j a a n y a n g d i g u n a k a n d i d a l a m N a s k a b D i n a s a d a l a b E j a a n B a b a s a

I n d o n e s i a s e s u a i d e n g a n k e t e n t u a n p e r a t u r a n p e r u n d a n g - u n d a n g a n .

M . M e d ia S a r a n a N a s k a b D i n a s

M e d i a s a r a n a N a s k a b D i n a s m e r u p a k a n a l a t u n t u k m e r e k a m

i n f o rm a s i y a n g d i k o m u n i k a s i k a n d a l a m b e n t u k m e d i a k o n v e n s i o n a l

( k e r t a s ) .


17/75

- 1 7 -

K e r t a s S u r a t

a . P e n g g u n a a n K e r t a s

1) K e r t a s y a n g d i g u n a k a n a d a l a h H V S m a k s i m a l 8 0 g r a m .

2 ) N a s k a h D i n a s y a n g m e m p u n y a i

n i l a i

k e g u n a a n d a l a m w a k t u

l a m a m e n g g u n a k a n k e r t a s j e n i s H V S l e b ih d a r i 8 0 g r a m a t a u

k e r t a s

j e n i s

l a i n

y a n g m e m i l i k i n i l a i k e s a m a a n t e r t e n t u p a l i n g

r e n d a h b a r u s m e n g g u n a k a n k e r t a s d e n g a n

n i l a i

k e a s a m e m (P H )

7 .

3 ) S u r a t D i n a s y a n g

a s l i

m e n g g u n a k a n k e r t a s b e r w a r n a p u t i b

d e n g a n k u a l i t a s t e r b a i k wh i te bond.

4 ) K e r t a s y a n g d i g u n a k a n u n t u k s u r a t - m e n y u r a t a d a l a b A 4 y a n g

b e r u k u r a n 2 9 7 x 2 1 0 m m (8 74 x I P A i n c i ) . D i s a m p i n g k e r t a s

A 4 , u n t u k k e p e n t i n g a n t e r t e n t u d a p a t d i g u n a k a n k e r t a s

d e n g a n

u k u r a n

b e r i k u t :

a ) A 3 k u a r t o g a n d a ( 2 9 7 x 4 2 0 m m ) ;

b ) A 5 s e t e n g a b k u a r t o ( 2 1 0 x 1 4 8 m m ) ;

c ) F o l i o ( 2 1 0 X 3 3 0 m m ) ; d a n

d ) F o l i o g a n d a ( 4 2 0 x 3 3 0 m m ) .

S a m p u l

S u r a t

S a m p u l

s u r a t m e r u p a k a n s a r a n a k e l e n g k a p a n p e n y a m p a i a n s u r a t ,

t e r u t a m a

u n t u k s u r a t k e l u a r K e m e n t e r ia n A g a m a . U k u r a n , b e n t u k ,

d a n

w a r n a s a m p u l y a n g d i g u n a k a n u n t u k s u r a t - m e n y u r a t p a d a

K e m e n t e r i a n A g a m a , d i a t u r s e s u a i d e n g a n k e p e r l u a n .

a . W a r n a d a n K u a l i t a s

S a m p u l s u r a t d i n a s m e n g g u n a k a n k e r t a s t a b a n l a m a {bond)

b e r w a r n a p u t i b a t a u c o k l a t m u d a d e n g an k u a l i t a s s e d e m i k i a n

r u p a

s e b i n g g a s e s u a i d e n g a n

u k u r a n

d a n b e r a t n a s k a b a t a u

s u r a t d i n a s y a n g d i k i r i m k a n .

b . P e n u l i s a n A l a m a t P e n g ir im d a n T u j u a n

P a d a s a m p u l s u r a t b a r u s d i c a n t u m k a n a l a m a t p e n g i r im d a n

a l a m a t t u j u a n . A l a m a t p e n g i r im d i c e ta k p a d a b a g i a n a t a s d e n g a n

s u s u n a n

d a n b e n t u k b u r u f y a n g s a m a d e n g a n y a n g d i c e ta k p a d a

k e p a l a s u r a t , y a i t u L a m b a n g N e g a r a / L a m b a n g K e m e n t e r i a n

A g a m a , n a m a K e m e n t e r i a n A g a m a / n a m a M e n t e r i A g a m a , d a n

a l a m a t K e m e n t e r ia n A g a m a . a l i n e a p e r t a m a a l a m a t t u j u a n m u l a i

d i c e t a k a t a u d i t u l i s p a d a b a g i a n s a m p u l k a n a n b a w a b .

c . C a r a M e l ip a t d a n M e m a s u k k a n S u r a t k e d a l a m S a m p u l

S u r a t

d i n a s d i l ip a t d e n g a n s u d u t s a l i n g b e r t e m u d a n l i p a t a n

h a r u s

l u r u s

d a n t i d a k

k u s u t .

S e b e l u m s u r a t d i n a s d i l i p a t h a m s

d i p e r t i m b a n g k a n s a m p u l y a n g a k a n d i g u n a k a n . S u r a t d i n a s

d i l i p a t d e n g a n c a r a s e p er t i ga b a g i a n b a w a b l e m b a r a n s u r a t

d i l i p a t k e d e p a n d a n s e p e r t i g a b a g i a n a t a s d i l i p a t k e b e l a k a n g .

S e l a n j u t n y a , s u r a t d i m a s u k k a n k e d a l a m s a m p u l d e n g a n b a g i a n

k e p a l a s u r a t

m e n g b a d a p

k e d e p a n k e a r a b p e n e r i m a / p e m b a c a

s u r a t .


18/75


19/75

- 1 9 -

2 ) K o p s u r a t M e n t e r i A g a m a t e r d i r i a t a s L a m b a n g N e g a r a d i

t e n g a b d a n

t u l i s a n M e n t e r i A g a m a R e p u b l i k I n d o n e s i a

d e n g a n m e n g g u n a k a n b u r u f k a p i t a l , d i c e t a k d i a t a s s e c a r a

s i m e t r i s .

P e r b a n d i n g a n

u k u r a n

L a m b a n g

N e g a r a

d e n g a n

b u r u f

y a n g d i g u n a k a n b e n d a k n y a s e r a s i d a n s e s u a i d e n g a n

u k u r a n

k e r t a s .

b .

K o p

s u r a t K e m e n t e r i a n A g a m a

1) K o p s u r a t K e m e n t e r i a n A g a m a m e n u n j u k k a n n a m a d a n

a l a m a t K e m e n t e r i a n A g a m a . K e r t a s d e n g a n k o p s u r a t

d i m a k s u d

d i g u n a k a n u n t u k k e m u d a b a n s e m u a s u r a t .

2 ) K o p S u r a t n a m a K e m e n t e r i a n A g a m a d i a t u r d e n g a n

k e t e n t u a n s e b a g a i m a n a b e r ik u t :

a )

K o p

N a s k a b D i n a s S a t u a n O r g a n i s a s i E s e l o n

I

P u s a t :

(1 ) S u s u n a n

t u l i s a n :

K o p s u r a t d e n g an n a m a K e m e n t e r i a n A g a m a d a l a m

s a t u a n

o r g a n i s a s i e s e l o n I p a d a K e m e n t e r i a n A g a m a

t e r d i r i d a r i L a m b a n g K e m e n t e r i a n A g a m a y a n g

t e r l e t a k d i m a r g in k i r i b a r i s p e r t a m a b e r t u l i s k a n

K e m e n t e r i a n A g a m a R e p u b l i k I n d o n e s i a , b a r i s k e d u a

n a m a s a t u a n o r g a n i s a s i e se lo n I , d a n d i b a w a b n y a

d i i k u t i

a l a m a t s a t u a n k e r j a es e lo n

I .

K e r t a s

d e n g a n k e p a l a n a m a s a t u a n o r g a n i s a s i e s e lo n

I p a d a K e m e n t e r i a n A g a m a d i g u n a k a n u n t u k n a s k a b

d i n a s


o l e b

p e j a b a t E s e l o n

I

y a n g b e r s a n g k u t a n a t a u p e j a b a t

s t r u k t u r a l

d i

b a w a b n y a .

(2 )

J e n i s

d a n

u k u r a n

b u r u f

(a ) t u l i s a n K e m e n t e r i a n A g a m a R e p u b l i k I n d o n e s i a ,

d e n g a n b u r u f k a p i t a l d a n j e n i s / o n t A r i a l 1 4 ;

(b ) t u l i s a n n a m a u n i t o r g a n i s a s i E s e l o n I , d e n g a n

b u r u f

k a p i t a l d a n j e n i s

fon t

A r i a l 1 2 ; d a n

(c ) a l a m a t u n i t o r g a n i s a s i E s e l o n

I ,

d e n g a n b u r u f

a w a l k a p i t a l d a n j e n i s / on t A r i a l9 .

C o n t o b :

K E ME NTE RI A N A GA MA RE P UB LI K I NDONE S I A

S E K R E T A R I A T J E N D E R A L

J a l a n L a p a n g a n B a n t e n g B a r a t N o m o r 3 - 4 J a k a r t a 1 0 7 1 0

T e le p on ( 02 1 ) 3 8 1 1 2 4 4 - 3 8 1 1 6 4 2 - 3 8 1 1 6 5 4 - 3 8 1 1 6 5 8 - 3 8 1 1 6 7 9 - 3 8 1 1 7 7 9 - 3 8 1 2 2 1 6

F a k s i m l l l ( 0 2 1 ) 3 5 0 3 4 6 6 W e b s i t e : w w w . k e m e n a g . g o . i d

b ) K o p s u r a t K a n t o r W i l a y a h K e m e n t e r i a n A g a m a P r o v i n s i

(1 ) S u s u n a n

t u l i s a n :

K o p s u r a t d e n g a n n a m a K a n t o r W i l a y a b

K e m e n t e r i a n A g a m a P r o v i n s i t e r d i r i d a r i L a m b a n g

K e m e n t e r i a n A g a m a y a n g t e r le t a k d i m a r g i n k i r i

b a r i s p e r t a m a b e r t u l i s k a n K e m e n t e r i a n A g a m a

R e p u b l i k I n d o n e s i a , b a r i s k e d u a n a m a K a n t o r

W i l a y a b K e m e n t e r i a n A g a m a P r o v i n s i , d a n d i

b a w a b n y a d i i k u t i a l a m a t K a n t o r W i l a y a b .
http://www.kemenag.go.id/http://www.kemenag.go.id/


20/75

- 2 0 -

K e r t a s

d e n g a n k e p a l a n a m a K a n t o r W i l a y a h

K e m e n t e r ia n A g a m a P r o v i n s i d i g u n a k a n u n t u k

N a s k a h

D i n a s y a n g d i t a n d a t a n g a n i o l e h p e j a b a t

y a n g b e r s a n g k u t a n a t a u p e ja b a t

s t r u k t u r a l d i

b a w a b n y a .

(2 ) J e n i s

d a n u k u r a n

b u r u f


d e n g a n b u r u f k a p i t a l d a n j e n i s f o n t A r i a l1 4 ;

(b ) t u l i s a n n a m a K a n t o r W i la y a b K e m e n t e r ia n

A g a m a P r o v i n s i , d e n g a n b u r u f k a p i t a l d a n j e n i s

f o n t

A r i a l 1 2 ; d a n

(c ) a l a m a t K a n t o r W i l a y a b K e m e n t e r i a n A g a m a

P r o v i n s i ,

d e n g a n b u r u f a w a l k a p i t a l

d a n

j e n i s

f o n t A r i a l9 .

C o n t o b :

KEMEN TER IAN AGAMA R EPU BL IK IN D ON ESIA

K A N T O R W I L A Y A H K E M E N T E R I A N A G A M A

PROVINSI DKI JAKARTA

J a l a n D J , P a nj a it a n N o .1 0 J a k a r ta T i m u r 1 3 3 4 0

T e l e p o n ( 0 2 1 ) 8 1 9 7 4 7 9 ; F a k s i m l l l ( 0 2 1 ) 8 1 9 5 4 6 1

ebsite w w w . d k i . k e m e n a g . g o . i d

c )

K o p

s u r a t K a n t o r K e m e n t e r ia n A g a m a K a b u p a t e n / K o t a

(1 ) S u s u n a n t u l i s a n :

K o p s u r a t d e n g a n n a m a K a n t o r K e m e n t e r i a n A g a m a

K a b u p a t e n / K o t a t e r d ir i d a r i L a m b a n g K e m e n t e r i a n

A g a m a y a n g t e r le t a k

d i

m a r g i n

k i r i

b a r i s p e r t a m a

b e r t u l i s k a n

K e m e n t e r i a n A g a m a R e p u b l i k I n d o n e s i a ,

b a r i s

k e d u a n a m a K a n t o r K e m e n t e r i a n A g a m a

K a b u p a t e n / K o t a , d a n d i b a w a b n y a d i i k u t i a l a m a t

K a n t o r K e m e n t e r ia n A g a m a K a b u p a t e n / K o t a .

K e r t a s

d e n g a n k e p a l a n a m a K a n t o r K e m e n t e r i a n

A g a m a K a b u p a t e n / K o t a d i g u n a k a n u n t u k N a s k a b

D i n a s

y a n g d i t a n d a t a n g a n i o l e b p e j a b a t y a n g

b e r s a n g k u t a n a t a u p e ja b a t s t r u k t u r a l d i b a w a b n y a .

(2 ) J e n i s d a n u k u r a n b u r u f


d e n g a n h u r u f k a p i t a l d a n j e n i s

f o n t

A r i a l

1 4 ;

(b ) t u l i s a n n a m a K a n t o r K e m e n t e r i a n A g a m a

K a b u p a t e n / K o t a , d e n g a n b u r u f k a p i t a l

d a n

j e n i s

f o n t

A r i a l 1 2 ; d a n

(c ) a l a m a t K a n t o r K e m e n t e r i a n A g a m a K a b u p a t e n /

K o t a ,

d e n g a n b u r u f a w a l k a p i t a l d a n j e n i s f o n t

A r i a l 9 .
http://www.dki.kemenag.go.id/http://www.dki.kemenag.go.id/


21/75

- 2 1 -

C o n t o h :


K A N T O R K E M E N T E R I A N A G A M A K O T A J A K A R T A U T A R A

J a l a n P l u m p a n g S e m p e r R a y a N o m o r 5 2 J a k a r t a U t a r a

T e l e p o n ( 0 2 1 ) 4 3 9 3 0 8 2 0 - 4 3 9 3 0 4 5 5 ; F ak s im i li ( 0 2 1 ) 4 3 9 3 0 8 2 0 ;

ebsite w w w . d k i . k e m e n a g . g o . l d

d ) K o p s u r a t M a d r a s a h a t a u K a n t o r U r u s a n A g a m a

K e c a m a t a n


K o p s u r a t d e n g a n n a m a M a d r a s a h a t a u K a n t o r

U r u s a n A g a m a K e c a m a t a n t e r d ir i d a r i L a m b a n g

K e m e n t e r i a n A g a m a y a n g te r l e t a k d i m a r g i n k i r i

b a r i s p e r t a m a b e r t u l i s k a n K e m e n t e r i a n A g a m a

R e p u b l i k I n d o n e s i a , b a r i s k e d u a K a n t o r K e m e n t e r i a n

A g a m a K a b u p a t e n / K o t a , b a r i s k e t i ga n a m a

M a d r a s a b a t a u K a n t o r U r u s a n A g a m a K e c a m a t a n ,

d a n d i b a w a b n y a d i i k u t i a l a m a t M a d r a s a b a t a u

K a n t o r U r u s a n A g a m a K e c a m a t a n .

K e r t a s

d e n g an k e p a l a n a m a M a d r a s a b a t a u K a n t o r

U r u s a n A g a m a K e c a m a t a n d i g u n a k a n u n t u k n a s k a b

d i n a s y a n g d i t a n d a t a n g a n i

o l e b

p e j a b a t y a n g

b e r s a n g k u t a n .

(2 )

J e n i s

d a n

u k u r a n b u r u f


d e n g a n b u r u f k a p i t a l d a n j e n i s f o n t A r i a l

1 4 ;

(b )

t u l i s a n n a m a K a n t o r K e m e n t e r i a n A g a m a

K a b u p a t e n / K o t a , d e n g a n b u r u f k a p i t a l d a n j e n i s

f o n t A r i a l

1 2 ;

(c ) t u l i s a n n a m a M a d r a s a b a t a u K a n t o r U r u s a n

A g a m a K e c a m a t a n , d e n g a n b u r u f k a p i t a l

d a n

j e n i s f o n t A r i a l 1 1 ; d a n

(d )

a l a m a t M a d r a s a b a t a u K a n t o r U r u s a n A g a m a

K e c a m a t a n , d e n g a n b u r u f a w a l k a p i t a l d a n j e n i s

f o n t A r i a l

9 .

C o n t o b K U A K e c a m a t a n :


K A N T O R K E M E N T E R I A N A G A M A K O T A J A K A R T A S E L A T A N

KANTOR URUSAN AGAMA KECAMATAN PASAR MINGGU

J a l a n K e b a g u s a n R a y a N o m o r 5 2 R a g u n a n P a s a r M i n g g u , J a k a r t a S e l a t a n

T e l e p o n ( 0 2 1 ) 7 8 2 2 8 1 9 ; F a k s i m i l i ( 0 2 1 ) 7 8 2 2 8 1 9 ;

l/Vebs/fe; w w w . k u a p a s a r m i n g g u . b l o g s p o t . c o m
http://www.dki.kemenag.go.ld/http://www.kuapasarminggu.blogspot.com/http://www.kuapasarminggu.blogspot.com/http://www.dki.kemenag.go.ld/


22/75

- 2 2 -

C o n t o h

M a d r a s a h :


K A N T O R K E M E N T E R I A N A G A M A K O T A J A K A R T A B A R A T

MADRASAH ALIYAH NEGERI 1

Ja lan Rawa Bahagia Raya Gr ogol Pet ambur an Jakar t a Bar at

T e l e p o n ( 0 2 1 ) 5 6 0 0 7 6 8 ; F a k s i m i l i ( 0 2 1 ) 5 6 0 0 7 6 8 ;

ebsite w w w . m a n 1 j a k a r t a . s c h . i d

e ) K o p

s u r a t

B a l a i ,

K a n t o r U r u s a n H a j i,

d a n

A s r a m a H a j i

E m b a r k a s i h


K o p

N a s k a b

D i n a s d e n g a n n a m a B a l a i a t a u K a n t o r

U r u s a n H a j i a t a u A s r a m a H a j i E m b a r k a s i h t e rd i r i

d a r i

L a m b a n g

K e m e n t e r ia n A g a m a

y a n g te r l e t a k d i

m a r g i n

k i r i

b a r i s

p e r t a m a



A g a m a R e p u b l i k I n d o n e s ia , b a r i s k e d u a n a m a B a l a i

a t a u K a n t o r U r u s a n H a j i a t a u A s r a m a H a j i

E m b a r k a s i h ,

d a n d i b a w a b n y a

d i i k u t i a l a m a t B a l a i

a t a u K a n t o r U r u s a n H a j i a t a u A s r a m a H a j i

E m b a r k a s i h .

K e r t a s d e n g a n k e p a l a n a m a B a l a i a t a u K a n t o r

U r u s a n H a j i a t a u A s r a m a H a j i E m b a r k a s i h

d i g u n a k a n u n t u k

N a s k a b

D i n a s


o l e b p e j a b a t y a n g

b e r s a n g k u t a n a t a u

p e j a b a t

s t r u k t u r a l

d i b a w a b n y a .

( 2 ) J e n i s

d a n


( a ) t u l i s a n K e m e n t e r i a n A g a m a R e p u b l i k I n d o n e s i a ,

d e n g a n b u r u f k a p i t a l d a n j e n i s f o n t A r i a l

1 4 ;

(b )

t u l i s a n n a m a B a l a i a t a u K a n t o r U r u s a n H a j i a t a u

A s r a m a H a j i E m b a r k a s i h , d e n g a n b u r u f k a p i t a l

d a n j e n i s f o n t A r i a l

1 2 ; d a n

(c) a l a m a t B a l a i a t a u K a n t o r U r u s a n H a j i a t a u

A s r a m a H a j i E m b a r k a s i h , d e n g a n b u r u f a w a l

k a p i t a l d a n j e n i s f o n t A r i a l

9 .

C o n t o b

B a l a i :


B A L A I P E N D I D I K A N D A N P E L A T I H A N K E A G A M A A N

PROVINSI DKI JAKARTA

Ja lan Rawa Kuning Pulo Gebang Cakung Jakar t a T imur

T e l e p o n ( 0 2 1 ) 4 8 0 3 5 7 7 ; Fa k s im i li ( 0 2 1 ) 4 8 0 3 5 7 8

ebsite www. bdkjakar t a . kemenag. go. id

f) K o p

s u r a t P e r g u r u a n

T i n g g i K e a g a m a a n N e g e r i ( P T K N )


K o p

N a s k a b

D i n a s

d e n g a n

n a m a P T K N t e r d ir i d a r i

l a m b a n g

P T K N

y a n g t e r l e t a k d i

m a r g i n k i r i b a r i s

p e r t a m a


K e m e n t e r i a n A g a m a

R e p u b l i k

I n d o n e s ia , b a r i s k e d u a n a m a P T K N ,

d a n d i

b a w a h n y a d i i k u t i a l a m a t P T K N .
http://www.man1jakarta.sch.id/http://www.bdkjakarta.kemenag.go.id/http://www.bdkjakarta.kemenag.go.id/http://www.man1jakarta.sch.id/


23/75

- 2 3 -

K e r t a s

d e n g a n

k e p a l a n a m a P T K N d i g u n a k a n u n t u k

N a s k a h D i n a s y a n g d i t a n d a t a n g a n i o l e h p e j a b a t

y a n g b e r s a n g k u t a n a t a u p e ja b a t s t r u k t u r a l d i

b a w a b n y a .

(2 )

J e n i s

d a n


( a ) t u l i s a n K e m e n t e r i a n A g a m a R e p u b l i k I n d o n e s i a ,

d e n g a n

b u r u f k a p i t a l d a n j e n i s f o n t A r i a l 1 4 ;

(b ) t u l i s a n n a m a P T K N , d e n g a n b u r u f k a p i t a l d a n

j e n i s f o n t A r i a l 1 2 ; d a n

(c ) a l a m a t P T K N ,

d e n g a n

b u r u f a w a l k a p i ta l d a n

j e n i s f o n t A r i a l 9 .

C o n t o k P T K N :


UNIVERSITAS ISLAM NEGERI

- ^ ^ . ^ ^ S UN AN KALI J AG A Y OG YA KA RT A

I ^ J l ^ ^ J

J a l a n M a r s d a A d i s u c ip t o Y o g y a k a r t a 5 5 2 8 1

T e l e p o n ( 0 2 7 4 ) 5 1 2 4 7 4 - 5 8 9 6 2 1 ; F a k s i m i l i ( 0 2 1 ) 5 8 6 1 1 7 ;

ebsite www. uin-suka. ac. ld

2 .

T a n g g a l S u r a t

T a n g g a l s u r a t d i t u l i s

d e n g a n

t a t a u r u t s e b a g a i b e r i k u t :

a . t a n g g a l

d i t u l i s

d e n g a n

a n g k a A r a b ;

b . b u l a n d i t u l i s d e n g a n b u r u f le n g k a p ; d a n

c . t a b u n d i t u l i s l e n g k a p

e m p a t d i g it d e n g a n

a n g k a A r a b .

3 .

H a lS u r a t

H a l m e r u p a k a n m a t e r i

p o k o k

s u r a t y a n g d i n y a t a k a n d e n g a n

k e l o m p o k

k a t a s i n g k a t t e ta p i j e l a s . H a lp e r lu d i c a n t u m k a n

d e n g a n

a l a s a n

b e r i k u t :

a .

m e n y a m p a i k a n p e n j e la s a n s i n g k a t t e n t a n g m a t e r i y a n g

d i k o m u n i k a s i k a n d a n m e n j ad i r u j u k a n d a l a m k o m u n i k a s i ;

b . m e m u d a b k a n i d e n t i f i k a s i d a l a m p e n y u s u n a n b a l a m a n p a d a

s u r a t y a n g t e r d i r i a t a s

l e b i b

d a r i s a t u b a l a m a n ; d a n

c . m e m u d a b k a n p e n e n t u a n a l u r p e n g i r im a n s u r a t a t a u

p e m b e r k a s a n d a n p e n y i m p a n a n s u r a t .

4 . T u j u a n d a n A l a m a t S u r a t

a .

S u r a t D i n a s d i t u j u k a n k e p a d a n a m a j a b a t a n p i m p i n a n s a t u a n

o r g a n i s a s i / s a t u a n k e r j a y a n g d i t u j u . S u r a t D i n a s t i d a k d a p a t

d i t u j u k a n

k e p a d a i d e n t i t a s y a n g t i d a k i n d i v i d u a l , m i s a l n y a

k a n t o r , k e m e n t e r i a n , d a n i n s t a n s i .

b . S u r a t D i n a s y a n g d i t u j u k a n k e p a d a p e ja b a t

p e m e r i n t a b / p e j a b a t n e g a r a d i t u l i s

d e n g a n

u r u t a n s e ba g a i

b e r i k u t :

1) n a m a j a b a t a n ;

2 ) j a l a n ;

3 ) k o t a ; d a n

4 ) k o d e

p o s .

0
http://www.uin-suka.ac.ld/http://www.uin-suka.ac.ld/


24/75

- 2 4 -

C o n t o h :

Y t h .

M e n t e r i P e n d a y a g u n a a n A p a r a t u r

N e g a r a

d a n R e f o r m a s i B i r o k r a s i

J a l a n

J e n d e r a l S u d i r m a n K a v l in g 6 9

J a k a r t a 1 2 1 9 0

5 . P a r a g r a f d a n S p a s i S u r a t

P a r a g r a f m e r u p a k a n

s e k e l o m p o k

k a l i m a t p e r n y a t a a n y a n g

b e r k a i t a n s a t u

d e n g a n

y a n g

I a i n ,

y a n g m e r u p a k a n s a t u k e s a t u a n .

F u n g s i p a r a g r a f a d a l a b m e m p e r m u d a b p e m a b a m a n p e n e r im a ,

m e m i s a b k a n , a t a u m e n g b u b u n g k a n p e m i k i r a n d a l a m k o m u n i k a s i

t e r t u l i s .

I s i s u r a t d i n a s d i k e t i k s a t u s p a s i d a n d i b e r i j a r a k 1 ,5 s . d . 2 s p a s i d i

a n t a r a p a r a g r a f y a n g s a t u d e n g a n p a r a g r a f y a n g l a i n n y a . S u r a t

y a n g t e r d i r i a t a s s a t u p a r a g r a f j a r a k

a n t a r

b a r i s n y a a d a l a b d u a

s p a s i . P e m a r a g r a f a n d i t a n d a i

d e n g a n

k e t u k , y a i t u + 6 k e t u k a t a u

s p a s i .

6 . W a r n a T i n t a

T i n t a

y a n g d i g u n a k a n u n t u k p e n u l i s a n s u r a t b e r w a r n a b i t a m ,

s e d a n g k a n u n t u k p e n a n d a t a n g a n a n s u r a t b e r w a r n a b i ta m a t a u

b i r u

t u a . T i n t a b e r w a r n a m e r a b b a n y a d i g u n a k a n u n t u k p e n u l i s a n

t in g k a t k e a m a n a n s u r a t R a b a s i a (R ) a t a u S a n g a t R a b a s i a ( S R ) .

P e n g g u n a a n w a r n a t i n t a c a p d i n a s b e r w a r n a u n g u .

7 . S a l i n a n

S a l i n a n

s u r a t d i n a s b a n y a d i b e r i k a n k e p a d a y a n g b e r b a k d a n

t e rd a p a t p a d a t e m b u s a n s u r a t , y a i t u s a l i n a n s u r a t y a n g

d i s a m p a i k a n k e p a d a p e j a b a t y a n g t e r k a i t .

8 . T i n g k a t K e a m a n a n

a .

S a n g a t R a b a s i a d i s i n g k a t ( S R ) , t in g k a t k e a m a n a n i s i s u r a t

d i n a s y a n g t e r t i n g g i s a n g a t e r a t b u b u n g a n n y a

d e n g a n

k e a m a n a n d a n k e s e l a m a t a n n e ga r a . J i k a d i s i a r k a n s e c a r a t i d a k

s a b a t a u j a t u b k e t a n g a n y a n g t i d a k b e r b a k , m a k a a k a n

m e m b a b a y a k a n k e a m a n a n d a n k e s e l a m a t a n n e g a r a .

b . R a b a s i a d i s i n g k a t (R ) : t in g k a t k e a m a n a n i s i s u r a t d i n a s y a n g

b e r b u b u n g a n e ra t

d e n g a n

k e a m a n a n d a n k e s e l a m a t a n n e g a ra .

J i k a

d i s i a r k a n s e c a r a t i d a k s a b a t a u j a t u b k e t a n g a n y a n g

t i d a k b e r b a k , m a k a a k a n m e r u g i k a n n e g a r a .

c . B i a s a d i s i n g k a t ( B ) : t in g k a t k e a m a n a n i s i s u a t u s u r a t d in a s

y a n g t i d a k t e r m a s u k d a l a m b u t i r a d a n b . N a m u n i t u t i d a k

b e r a r t i b a b w a i s i s u r a t d i n a s t e rs e b u t d a p a t d i s a m p a i k a n

k e p a d a y a n g t i d a k b e r b a k m e n g e t a b u i n y a .

S u r a t y a n g m e n g a n d u n g m a t e r i d e n g a n t in g k a t k e a m a n a n t e r te n t u

( S an g a t R a b a s i a d a n R a b a s i a ) b a r u s d i j ag a k e a m a n a n n y a d a l a m

r a n g k a

k e a m a n a n d a n k e s e l a m a t a n n e g a r a . T a n d a t in g k a t

k e a m a n a n d i t u l i s

d e n g a n

c a p (d i k e t ik b e r w a r n a m e r a b p a d a

n o m o r

s u r a t ) .

a .

R b . SR


25/75

- 2 5 -

J i k a

s u r a t d i n a s t e r se b u t d i s a l i n , c a p t i n g k a t k e a m a n a n p a d a

s a l i n a n b a r u s d e n g a n w a r n a y a n g s a m a d e n g a n w a r n a c a p p a d a

s u r a t a s l i .

9 .

K e c e p a t a n P e n y a m p a i a n

a .

A m a t S e g e r a / K i l a t m e r u p a k a n s u r a t d i n a s y a n g b a r u s

d i s e l e s a ik a n / d i k i r i m / d i s a m p a i k a n p a d a b a r i y a n g s a m a

d e n g a n

b a t a s w a k t u 2 4 j a m .

b . S e g e ra m e r u p a k a n s u r a t d i n a s y a n g b a r u s d i s e l e s a i k a n / d i k i r i m

d i s a m p a i k a n d a l a m w a k t u 2 x 2 4 j a m .

c .

B i a s a

m e r u p a k a n s u r a t d i n a s y a n g b a r u s d i s e l e s a i k a n /

d i k i r i m / d i s a m p a i k a n m e n u r u t u r u t a n y a n g d i t e r i m a o l e b

b a g i a n p e n g i r im a n , s e s u a i

d e n g a n

j a d w a l p e r j a la n a n

c a r a k a / k u r i r .

K e t e n t u a n S u r a t - M e n 3 r u r a t

1 .

K o m u n i k a s i L a n g s u n g

S u r a t d i n a s d i k i r i m l a n g s u n g k e p a d a i n d i v i d u

( p e j a b a t

f o r m a l ) .

J i k a

s u r a t

t e r s e b u t d i t u j u k a n k e p a d a p e j ab a t y a n g b u k a n k e p a l a s a t u a n

k e r j a , u n t u k

m e m p e r c e p a t

p e n y a m p a i a n s u r a t k e p a d a p e ja b a t y a n g

d i t u j u

t e r s e b u t , s u r a t

t e t a p

d i t u j u k a n k e p a d a k e p a l a s a t u a n k e r ja ,

t et a p i d i c a n t u m k a n u n t u k p e r b a t i a n ( u . p . ) p e j a b a t y a n g

b e r s a n g k u t a n .

2 .

A l u r S u r a t - M e n y u r a t

A l u r su r a t- m e n 3 n j[ ra t b a r u s m e l a l u i b i e r a r k i d a r i t i n g k a t p i m p i n a n

t e r t i n g g i

b i n g g a

ke p e ja b a t s t r u k t u r a l

t e r e n d a b

y a n g b e r w e n a n g

s e b i n g g a

d a p a t d i l a k u k a n p e n g e n d a l i a n p e n y e l e s a i a n .

a .

A l u r s u r a t d a r i a t a s k e

b a w a b

d i a t u r s e b a g a i b e r i k u t :

1) S u r a t d a r i M e n t er i , S e k r e t a r i s J e n d e r a l , D i r e k t u r J e n d e r a l ,

K e p a l a B a d a n L i t b a n g d a n D i k l a t , y a n g d i k i r i m k e i n s t a n s i

v e r t i k a l

d a n U P T p a d a K e m e n t e r i a n

A g a m a

d i a l a m a t k a n

k e p a d a K e p a l a K a n t o r W i l a y a b , R e k t o r I A I N , R e k t o r U I N ,

R e k t o r I H D N , K e t u a S T A I N , K e t u a S T A K N , K e t u a S T A H N ,

K e t u a

S T A B N d a n K e p a l a

B a l a i .

2 ) S u r a t d a r i K e p a l a K a n t o r W i l a y a b K e m e n t e r i a n

A g a m a ,

d i k i r i m

k e p a d a K e p a l a K a n t o r K e m e n t e r i a n

A g a m a

K a b u p a t e n / K o t a d a n K e p a l a M a d r a s a b A l i y a b N e g e r i .

3 ) K e p a l a

B a l a i ,

R e k t o r I A I N , R e k t o r U I N , R e k t o r I H D N K e t u a

S T A I N , K e t u a S T A K N , K e t u a S T A H N , K e t u a S T A B N k e p a d a

K e p a l a K a n k e m e n a g K a b u p a t e n / K o t a d a n K e p a l a M a d r a s a b

A l i y a b

N e g e r i

m e l a l u i K e p a l a K a n w i l K e m e n t e r ia n A g a m a

P r o v i n s i .

4 ) S u r a t d a r i K e p a l a K a n t o r K e m e n t e r i a n

A g a m a

K a b u p a t e n /

K o t a , y a n g d i k i r i m k e K a n t o r U r u s a n A g a m a K e c a m a t a n ,

M T s N d a n M I N d a l a m l i n g k u n g a n w i l a y a b n y a d i a l a m a t k a n

k e p a d a K e p a l a K a n t o r U r u s a n A g a m a K e c a m a t a n , K e p a l a

M T s N d a n K e p a l a M I N .

5 ) T i d a k d i b e n a r k a n m e n g i r im s u r a t y a n g d i t u j u k a n l a n g s u n g

k e p a d a K e p a l a B i d a n g / P e m b i m b i n g p a d a K a n t o r W i la y a b


A g a m a

P r o v i n s i a t a u K e p a l a S e k s i /

P e n y e l e n g g a r a

B i m b i n g a n p a d a K a n t o r K e m e n t e r i a n

A g a m a

K a b u p a t e n /K o t a .

7/21/2019

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KMA Tata Persuratan No.9 Th 2016