• Tidak ada hasil yang ditemukan

DAN LAPORAN BMN TAHUN ANGGARAN 2005

Dalam dokumen per 021 pb 2005 lampiran (Halaman 41-56)

LAPORAN REALISASI PENGEMBALIAN BELANJA

BELANJA KEMENTERIAN NEGARA/LEMBAGA MELALUI KPPN DAN BUN UNTUK BULAN YANG BERAKHIR XX XXXXXX XXXX

(DALAM RUPIAH)

KODE LAP. : LRBKB 01 KEMENTERIAN NEGARA/LEMBAGA : (25) AGAMA TANGGAL : XX/XX/XXXX

HAL. : XX PROG. ID : XXXXXXXX

KODE URAIAN

REALISASI PENGEMBALIAN BELANJA

SISA ANGGARAN BULAN INI

1 2 3 4 5 6 7 8 9

I. IKHTISAR MENURUT SUMBER DANA

X Uraian Sumber Dana XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJASUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUMBER DANA X 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

II. IKHTISAR MENURUT ESELON I

XX Uraian Eselon I 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Eselon I 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 III. IKHTISAR MENURUT PUSAT-WILAYAH

XXXX Pusat 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Wilayah 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Wilayah 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 IV. IKHTISAR MENURUT JENIS PENDAPATAN - MAP

XX Uraian Pendapatan XXXX Uraian Pendapatan

XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XXXX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Pendapatan

XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XXXX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

ANGGARAN SEMULA ANGGARAN SETELAH REVISI % REAL. ANGG. JUMLAH SAMPAI DENGAN BULAN LALU JUMLAH SAMPAI DENGAN BULAN INI

LAPORAN REALISASI PENGEMBALIAN BELANJA BELANJA KEMENTERIAN NEGARA/LEMBAGA MELALUI KPPN

UNTUK BULAN YANG BERAKHIR XX XXXXXX XXXX (DALAM RUPIAH)

KODE LAP. : LRBKB 02 KEMENTERIAN NEGARA/LEMBAGA : (25) AGAMA TANGGAL : XX/XX/XXXX

HAL. : XX PROG. ID : XXXXXXXX

KODE URAIAN

REALISASI PENGEMBALIAN BELANJA

SISA ANGGARAN BULAN INI

1 2 3 4 5 6 7 8 9

I. IKHTISAR MENURUT SUMBER DANA

X Uraian Sumber Dana XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJASUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUMBER DANA X 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

II. IKHTISAR MENURUT ESELON I

XX Uraian Eselon I 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Eselon I 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 III. IKHTISAR MENURUT PUSAT-WILAYAH

XXXX Pusat 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Wilayah 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Wilayah 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 IV. IKHTISAR MENURUT JENIS BELANJA - MAP

XX Uraian Pendapatan XXXX Uraian Pendapatan

XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XXXX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Pendapatan

XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XXXX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 ANGGARAN SEMULA ANGGARAN SETELAH REVISI % REAL. ANGG. JUMLAH SAMPAI DENGAN BULAN LALU JUMLAH SAMPAI DENGAN BULAN INI

LAPORAN REALISASI PENGEMBALIAN BELANJA BELANJA KEMENTERIAN NEGARA/LEMBAGA MELALUI BUN

UNTUK BULAN YANG BERAKHIR XX XXXXXX XXXX (DALAM RUPIAH)

KODE LAP. : LRBKB 03 KEMENTERIAN NEGARA/LEMBAGA : (25) AGAMA TANGGAL : XX/XX/XXXX

HAL. : XX PROG. ID : XXXXXXXX

KODE URAIAN

REALISASI PENGEMBALIAN BELANJA

SISA ANGGARAN BULAN INI

1 2 3 4 5 6 7 8 9

I. IKHTISAR MENURUT SUMBER DANA

X Uraian Sumber Dana XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJASUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUMBER DANA X 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

II. IKHTISAR MENURUT ESELON I

XX Uraian Eselon I 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Eselon I 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 III. IKHTISAR MENURUT PUSAT-WILAYAH

XXXX Pusat 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Wilayah 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Wilayah 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

IV. IKHTISAR MENURUT JENIS BELANJA - MAP XX Uraian Pendapatan

XXXX Uraian Pendapatan

XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XXXX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Pendapatan

XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XXXX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 ANGGARAN SEMULA ANGGARAN SETELAH REVISI % REAL. ANGG. JUMLAH SAMPAI DENGAN BULAN LALU JUMLAH SAMPAI DENGAN BULAN INI

JUMLAH PENGEMBALIAN BELANJA XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

LAPORAN REALISASI PENGEMBALIAN BELANJA

BELANJA KEMENTERIAN NEGARA/LEMBAGA MELALUI KPPN DAN BUN UNTUK TRIWULAN YANG BERAKHIR XX XXXXXX XXXX

(DALAM RUPIAH)

KODE LAP. : LRBKW 01 KEMENTERIAN NEGARA/LEMBAGA : (25) AGAMA TANGGAL : XX/XX/XXXX

HAL. : XX PROG. ID : XXXXXXXX

KODE URAIAN

REALISASI PENGEMBALIAN BELANJA

SISA ANGGARAN TRIWULAN INI

1 2 3 4 5 6 7 8 9

I. IKHTISAR MENURUT SUMBER DANA

X Uraian Sumber Dana XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJASUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUMBER DANA X 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

II. IKHTISAR MENURUT ESELON I

XX Uraian Eselon I 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Eselon I 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 III. IKHTISAR MENURUT PUSAT-WILAYAH

XXXX Pusat 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Wilayah 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Wilayah 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

IV. IKHTISAR MENURUT JENIS BELANJA - MAP XX Uraian Pendapatan

XXXX Uraian Pendapatan

XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XXXX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Pendapatan

XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XXXX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

ANGGARAN SEMULA ANGGARAN SETELAH REVISI % REAL. ANGG. JUMLAH SAMPAI DENGAN TRIWULAN LALU JUMLAH SAMPAI DENGAN TRIWULAN INI

LAPORAN REALISASI PENGEMBALIAN BELANJA BELANJA KEMENTERIAN NEGARA/LEMBAGA MELALUI KPPN

UNTUK TRIWULAN YANG BERAKHIR XX XXXXXX XXXX (DALAM RUPIAH)

KODE LAP. : LRBKW 02 KEMENTERIAN NEGARA/LEMBAGA : (25) AGAMA TANGGAL : XX/XX/XXXX

HAL. : XX PROG. ID : XXXXXXXX

KODE URAIAN

REALISASI PENGEMBALIAN BELANJA

SISA ANGGARAN TRIWULAN INI

1 2 3 4 5 6 7 8 9

I. IKHTISAR MENURUT SUMBER DANA

X Uraian Sumber Dana XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJASUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUMBER DANA X 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

II. IKHTISAR MENURUT ESELON I

XX Uraian Eselon I 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Eselon I 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 III. IKHTISAR MENURUT PUSAT-WILAYAH

XXXX Pusat 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Wilayah 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Wilayah 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

IV. IKHTISAR MENURUT JENIS BELANJA - MAP XX Uraian Pendapatan

XXXX Uraian Pendapatan

XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XXXX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Pendapatan

XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XXXX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

ANGGARAN SEMULA ANGGARAN SETELAH REVISI % REAL. ANGG. JUMLAH SAMPAI DENGAN TRIWULAN LALU JUMLAH SAMPAI DENGAN TRIWULAN INI

LAPORAN REALISASI PENGEMBALIAN BELANJA BELANJA KEMENTERIAN NEGARA/LEMBAGA MELALUI BUN

UNTUK TRIWULAN YANG BERAKHIR XX XXXXXX XXXX (DALAM RUPIAH)

KODE LAP. : LRBKW 03 KEMENTERIAN NEGARA/LEMBAGA : (25) AGAMA TANGGAL : XX/XX/XXXX

HAL. : XX PROG. ID : XXXXXXXX

KODE URAIAN

REALISASI PENGEMBALIAN BELANJA

SISA ANGGARAN TRIWULAN INI

1 2 3 4 5 6 7 8 9

I. IKHTISAR MENURUT SUMBER DANA

X Uraian Sumber Dana XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJASUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUMBER DANA X 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

II. IKHTISAR MENURUT ESELON I

XX Uraian Eselon I 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Eselon I 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 III. IKHTISAR MENURUT PUSAT-WILAYAH

XXXX Pusat 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Wilayah 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Wilayah 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

IV. IKHTISAR MENURUT JENIS BELANJA - MAP XX Uraian Pendapatan

XXXX Uraian Pendapatan

XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XXXX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXX Uraian Pendapatan

XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XXXXXX Uraian MAP 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XXXX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

ANGGARAN SEMULA ANGGARAN SETELAH REVISI % REAL. ANGG. JUMLAH SAMPAI DENGAN TRIWULAN LALU JUMLAH SAMPAI DENGAN TRIWULAN INI

LAPORAN REALISASI PENGEMBALIAN BELANJA

BELANJA KEMENTERIAN NEGARA/LEMBAGA MELALUI KPPN DAN BUN MENURUT FUNGSI, SUBFUNGSI, PROGRAM

UNTUK BULAN YANG BERAKHIR XX XXXXXX XXXX (DALAM RUPIAH)

KODE LAP. : LRBKB 01d TANGGAL : XX/XX/XXXX

KEMENTERIAN NEGARA/LEMBAGA : (25) AGAMA HAL. : XX

PROG. ID : XXXXXXXX

KODE URAIAN

REALISASI PENGEMBALIAN BELANJA

SISA ANGGARAN BULAN INI

1 2 3 4 5 6 7 8 9

IKHTISAR MENURUT PROGRAM

XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJASUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Fungsi

XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 ANGGARAN SEMULA ANGGARAN SETELAH REVISI % REAL. ANGG. JUMLAH SAMPAI DENGAN BULAN LALU JUMLAH SAMPAI DENGAN BULAN INI

LAPORAN REALISASI PENGEMBALIAN BELANJA BELANJA KEMENTERIAN NEGARA/LEMBAGA MELALUI KPPN

MENURUT FUNGSI, SUBFUNGSI, PROGRAM UNTUK BULAN YANG BERAKHIR XX XXXXXX XXXX

(DALAM RUPIAH)

KODE LAP. : LRBKB 02d TANGGAL : XX/XX/XXXX

KEMENTERIAN NEGARA/LEMBAGA : (25) AGAMA HAL. : XX

PROG. ID : XXXXXXXX

KODE URAIAN

REALISASI PENGEMBALIAN BELANJA

SISA ANGGARAN BULAN INI

1 2 3 4 5 6 7 8 9

IKHTISAR MENURUT PROGRAM

XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJASUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 ANGGARAN SEMULA ANGGARAN SETELAH REVISI % REAL. ANGG. JUMLAH SAMPAI DENGAN BULAN LALU JUMLAH SAMPAI DENGAN BULAN INI

LAPORAN REALISASI PENGEMBALIAN BELANJA BELANJA KEMENTERIAN NEGARA/LEMBAGA MELALUI BUN

MENURUT FUNGSI, SUBFUNGSI, PROGRAM UNTUK BULAN YANG BERAKHIR XX XXXXXX XXXX

(DALAM RUPIAH)

KODE LAP. : LRBKB 03d TANGGAL : XX/XX/XXXX

KEMENTERIAN NEGARA/LEMBAGA : (25) AGAMA HAL. : XX

PROG. ID : XXXXXXXX

KODE URAIAN

REALISASI PENGEMBALIAN BELANJA

SISA ANGGARAN BULAN INI

1 2 3 4 5 6 7 8 9

IKHTISAR MENURUT PROGRAM

XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJASUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 ANGGARAN SEMULA ANGGARAN SETELAH REVISI % REAL. ANGG. JUMLAH SAMPAI DENGAN BULAN LALU JUMLAH SAMPAI DENGAN BULAN INI

LAPORAN REALISASI PENGEMBALIAN BELANJA

BELANJA KEMENTERIAN NEGARA/LEMBAGA MELALUI KPPN DAN BUN MENURUT FUNGSI, SUBFUNGSI, PROGRAM

UNTUK TRIWULAN YANG BERAKHIR XX XXXXXX XXXX (DALAM RUPIAH)

KODE LAP. : LRBKW 01d TANGGAL : XX/XX/XXXX

KEMENTERIAN NEGARA/LEMBAGA : (25) AGAMA HAL. : XX

PROG. ID : XXXXXXXX

KODE URAIAN

REALISASI PENGEMBALIAN BELANJA

SISA ANGGARAN TRIWULAN INI

1 2 3 4 5 6 7 8 9

IKHTISAR MENURUT PROGRAM

XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJASUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Fungsi

XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 ANGGARAN SEMULA ANGGARAN SETELAH REVISI % REAL. ANGG. JUMLAH SAMPAI DENGAN TRIWULAN LALU JUMLAH SAMPAI DENGAN TRIWULAN INI

LAPORAN REALISASI PENGEMBALIAN BELANJA BELANJA KEMENTERIAN NEGARA/LEMBAGA MELALUI KPPN

MENURUT FUNGSI, SUBFUNGSI, PROGRAM UNTUK TRIWULAN YANG BERAKHIR XX XXXXXX XXXX

(DALAM RUPIAH)

KODE LAP. : LRBKW 02d TANGGAL : XX/XX/XXXX

KEMENTERIAN NEGARA/LEMBAGA : (25) AGAMA HAL. : XX

PROG. ID : XXXXXXXX

KODE URAIAN

REALISASI PENGEMBALIAN BELANJA

SISA ANGGARAN TRIWULAN INI

1 2 3 4 5 6 7 8 9

IKHTISAR MENURUT PROGRAM

XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJASUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Fungsi

XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 ANGGARAN SEMULA ANGGARAN SETELAH REVISI % REAL. ANGG. JUMLAH SAMPAI DENGAN TRIWULAN LALU JUMLAH SAMPAI DENGAN TRIWULAN INI

LAPORAN REALISASI PENGEMBALIAN BELANJA BELANJA KEMENTERIAN NEGARA/LEMBAGA MELALUI BUN

MENURUT FUNGSI, SUBFUNGSI, PROGRAM UNTUK TRIWULAN YANG BERAKHIR XX XXXXXX XXXX

(DALAM RUPIAH)

KODE LAP. : LRBKW 03d TANGGAL : XX/XX/XXXX

KEMENTERIAN NEGARA/LEMBAGA : (25) AGAMA HAL. : XX

PROG. ID : XXXXXXXX

KODE URAIAN

REALISASI PENGEMBALIAN BELANJA

SISA ANGGARAN TRIWULAN INI

1 2 3 4 5 6 7 8 9

IKHTISAR MENURUT PROGRAM

XX Uraian Fungsi XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJASUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Fungsi

XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 XX Uraian Sub Fungsi

XXXX Uraian Program 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA SUBFUNGSI XX.XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA FUNGSI XX 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999

JUMLAH PENGEMBALIAN BELANJA 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 999,999,999,999 99,999.99 999,999,999,999 ANGGARAN SEMULA ANGGARAN SETELAH REVISI % REAL. ANGG. JUMLAH SAMPAI DENGAN TRIWULAN LALU JUMLAH SAMPAI DENGAN TRIWULAN INI

Lampiran V A

Jadwal Pengiriman Laporan Keuangan Peraturan Direktur Ditjen PBN No. PER-21 /PB/2005 Tanggal 29 Juli 2005 Tentang Pelaksanaan Penyusunan Laporan Keuangan Kementerian Negara/Lembaga

JADWAL PENGIRIMAN LAPORAN KEUANGAN UAKPA – UAPA

Dalam dokumen per 021 pb 2005 lampiran (Halaman 41-56)

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