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    Cah Garaz SEvenfoldism
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    Group Indonesia

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views1 page

    Group Indonesia

    Uploaded by

    Cah Garaz SEvenfoldism
    Group Indonesia

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    CPM

    Ownership Business School

    CITRA PANDAWA MANDIRI


    Jl. Raya D.I. Panjaitan Kelurahan Sewaka,
    Dk. Sigentong Rt. 02 Rw. 01 Pemalang

    GROUP INDONESIA

    Nama

    : .................................................

    Tanggal

    :..................................................

    Media

    :..................................................

    Area

    :..................................................

    GOAL

    : .................................................

    Rp.250.000,-

    Administrasi + Asuransi

    WORK SHEET
    Nama

    Usia

    Rt/ Rw

    Keluhan

    Nama

    Usia

    Rt/ Rw

    Keluhan

    Penerima Subsidi
    No

    Nama

    Usia

    Keluhan

    Alamat

    Tanda
    Tangan

    1.
    2.
    3.
    4.
    5.

    Mengetahui Petugas

    (...................................)

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